TW201032806A - Hsp90 inhibitor combinations - Google Patents
Hsp90 inhibitor combinations Download PDFInfo
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- TW201032806A TW201032806A TW098140714A TW98140714A TW201032806A TW 201032806 A TW201032806 A TW 201032806A TW 098140714 A TW098140714 A TW 098140714A TW 98140714 A TW98140714 A TW 98140714A TW 201032806 A TW201032806 A TW 201032806A
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Abstract
Description
201032806 六、發明說明: 【發明所屬之技術領域】 本發明係關於一種包含Hsp90抑制劑及mTOR抑制劑之醫 藥組合物以及此組合物在治療增生性疾病(更具體而言, » 係哺乳動物雷帕黴素(rapamycin)乾標(mTOR)激酶及依賴 ,性疾病)中之用途。 儘管有許多治療選擇可用於增生性疾病患者,但仍需要 安全且有效的抗增生劑並需要其以組合療法使用。 φ 現在已經發現包含至少一種Hsp90抑制劑化合物及至少 一種mTOR抑制劑之如下文所述組合對增生性病症具有有 益效果,該等增生性病症包括但不限於實體腫瘤、骨髓 -瘤、白血病、乾癣、再狹窄症、硬皮症及纖維化。 ' 本申請案主張優先於在2008年11月28日提出申請之歐洲 申請案第08170279.7號、在2008年11月28日提出申請之歐 洲申請案第08 170287.0號、在2008年11月28曰提出申請之 歐洲申請案第08 170246.6號、在2008年11月28曰提出申請 • 之歐洲申請案第08170230.0號的權益,所有四個申請案之 内容均以引用方式併入本文中。 . 【先前技術】 熱激蛋白90(Hsp90)被視為抗癌靶標。Hsp90係極豐富 (佔總細胞蛋白之1-2%)的遍在關鍵蛋白,其可用作分子伴 侣蛋白以確保客體蛋白之構象穩定性、形狀及功能。 在應力蛋白中,Hsp90因其並非為大多數多肽生物發生 所需而成為獨特的(Nathan等人,1997)。其細胞靶標(亦稱 144363.doc 201032806 作客體蛋白)係在生長控制、細胞存活及組織形成中發揮 重要作用之構象不穩定的信號轉導物(Pratt及Toft, 2003) 〇抑制Hsp90之固有ATP酶活性會破壞Hsp90_客體蛋 白相互作用,導致其經由泛素蛋白酶體途徑而降解。 Hsp90客體蛋白之亞型(例如Raf、AKT、磷酸-AKT、CDK4 及EGFR家族,包括ErbB2)係在細胞生長、分裂及凋亡過 程中起關鍵作用之致癌信號傳導分子,該等過程對於癌細 胞十分重要。據信一種或多種癌蛋白降解可產生使用 Hsp90抑制劑所觀測的抗腫瘤作用。 伴侣蛋白之Hsp90家族包含四個成員:Hsp90a及 Hsp9〇P(二者均位於胞質溶膠中)、GRP94(在内質網中)及 TRAP1(在線粒體中)(Csermely等人,1998)。Hsp90係最豐 富的細胞伴侣蛋白,佔總蛋白之約1%-2%(Jakob及 Buchner , 1994)。 在N-末端結構域處具有保守ATP-結合位點之Hsp90伴侣 蛋白(Chene,2002)屬於小ATP酶亞族,該亞族稱為DNA回 轉酶,Hsp90,組胺酸激酶及MutL(GHKL)亞族(Dutta及 Inouye,2000)。Hsp90之伴侣蛋白(摺疊)活性取決於其對 分離酶十分弱的ATP酶活性。然而,已顯示當Hsp90與稱 作共-伴侣蛋白之蛋白結合時,Hsp90之ATP酶活性增強 (Kamal等人,2003)。因此,在活體内,Hsp90蛋白作為大 型動態蛋白複合物之亞單位起作用。Hsp90對真核細胞存 活係重要的且在許多腫瘤中受到過度表現。201032806 VI. Description of the Invention: [Technical Field] The present invention relates to a pharmaceutical composition comprising an Hsp90 inhibitor and an mTOR inhibitor, and the composition for treating a proliferative disease (more specifically, a mammalian ray Use of rapamycin dry standard (mTOR) kinase and its dependence on sexual diseases. Although there are many treatment options available for patients with proliferative diseases, there is a need for safe and effective anti-proliferative agents that require their use in combination therapies. φ It has now been found that a combination comprising at least one Hsp90 inhibitor compound and at least one mTOR inhibitor as described below has a beneficial effect on a proliferative disorder including, but not limited to, solid tumors, bone marrow-tumor, leukemia, stem Hemorrhoids, restenosis, scleroderma and fibrosis. ' This application claims to take precedence over the European application No. 08170279.7 filed on November 28, 2008, and the European application No. 08 170287.0 filed on November 28, 2008, filed on November 28, 2008. The contents of all of the four applications are incorporated herein by reference in their entire application Serial No. PCT Application Serial No. No. 08. [Prior Art] Heat shock protein 90 (Hsp90) is considered an anti-cancer target. The Hsp90 line is a ubiquitous key protein (1-2% of total cellular proteins) that can be used as a molecular companion protein to ensure conformational stability, shape and function of guest proteins. Among stress proteins, Hsp90 is unique because it is not required for most polypeptide biogenesis (Nathan et al., 1997). Its cellular target (also known as 144363.doc 201032806 as a guest protein) is a conformationally unstable signal transducer that plays an important role in growth control, cell survival and tissue formation (Pratt and Toft, 2003). Inhibits the intrinsic ATP of Hsp90. Enzymatic activity disrupts the Hsp90_ guest protein interaction, causing it to degrade via the ubiquitin proteasome pathway. Subtypes of Hsp90 guest proteins (eg, Raf, AKT, phospho-AKT, CDK4, and EGFR families, including ErbB2) are carcinogenic signaling molecules that play key roles in cell growth, division, and apoptosis, and these processes are for cancer cells. Very important. Degradation of one or more oncoproteins is believed to produce an anti-tumor effect observed using Hsp90 inhibitors. The Hsp90 family of chaperone proteins contains four members: Hsp90a and Hsp9〇P (both in the cytosol), GRP94 (in the endoplasmic reticulum), and TRAP1 (in the mitochondria) (Csermely et al., 1998). Hsp90 is the most abundant cellular chaperone protein, accounting for about 1% to 2% of total protein (Jakob and Buchner, 1994). The Hsp90 chaperone protein (Chene, 2002) with a conserved ATP-binding site at the N-terminal domain belongs to the small ATPase subfamily, which is called DNA gyrase, Hsp90, histidine kinase and MutL (GHKL). Subfamily (Dutta and Inouye, 2000). The chaperone (folding) activity of Hsp90 is dependent on its very weak ATPase activity on the isolated enzyme. However, it has been shown that when Hsp90 binds to a protein called a co-chaperone protein, the ATPase activity of Hsp90 is enhanced (Kamal et al., 2003). Thus, in vivo, the Hsp90 protein acts as a subunit of the large dynamic protein complex. Hsp90 is important for eukaryotic cell survival and is overexpressed in many tumors.
用mTOR抑制劑治療癌細胞可造成促存活蛋白磷酸-AKT 144363.doc 201032806 上調(O’Reilly, 2006)。由於磷酸-AKT係Hsp90客體蛋白, 使用Hsp90抑制劑之共治療可阻止或降低mTOR抑制劑誘導 之磷酸-AKT上調,從而達成抗腫瘤效果增加。 【發明内容】 在各實施例中,本發明之醫藥組合物包含存於醫藥上可 接受之載劑中之組份(a)及(b),其中組份(a)係式⑴之化 合物Treatment of cancer cells with mTOR inhibitors results in upregulation of the pro-survival protein phosphate-AKT 144363.doc 201032806 (O’Reilly, 2006). Since the phospho-AKT-based Hsp90 guest protein, co-treatment with an Hsp90 inhibitor prevents or reduces the upregulation of the phosphorylation-AKT induced by the mTOR inhibitor, thereby achieving an increase in antitumor effect. SUMMARY OF THE INVENTION In each of the examples, the pharmaceutical composition of the present invention comprises components (a) and (b) in a pharmaceutically acceptable carrier, wherein component (a) is a compound of formula (1)
Ra ΟRa Ο
n^Y^n-R (I) 或其立體異構體、互變異構體、醫藥上可接受之鹽、或 前藥,其中n^Y^n-R (I) or a stereoisomer, tautomer, pharmaceutically acceptable salt thereof, or prodrug thereof, wherein
RaS選自由下列組成之群: ⑴氫, (2) 鹵素, (3) 羥基, (4) CVC6烷氧基, (5) 硫醇, (6) CVC6烷基硫醇, (7) 經取代或未經取代烷基, (8) 胺基或經取代胺基, (9) 經取代或未經取代芳基, 144363.doc 201032806 (10)經取代或未經取代雜芳基及 (11)經取代或未經取代雜環基; R係選自由下列組成之群: (1) 氫, (2) 經取代或未經取代Cl_c6烷基, (3) 經取代或未經取代C2-C6烯基, (4) 經取代或未經取代c2_C6炔基, (5) 經取代或未經取代〇3-(:7環烷基, (6) 經取代或未經取代(^-匕環烯基, ⑺ 經取代或未經取代芳基, ⑻ 經取代或未經取代雜芳基,及 (9) 經取代或未經取代雜環基; Rb係選自由下列組成之群: (1) 經取代或未經取代c3_c7環烷基, (2) 經取代或未經取代(:5-(:7環烯基, (3) 經取代或未經取代芳基, (4) 經取代或未經取代雜芳基,及 (5) 經取代或未經取代雜環基;且 限制條件為若Ra係胺基,則Rb不為苯基、4_烷基-笨基、 4-烧氧基苯基或4-函代苯基,且 組份(b)係mTOR抑制劑。 式(I)之化合物可與mTOR抑制劑組合存於醫藥上可接受 之載劑中。在治療增生性疾病之方法中,可對有需要的患 者一起或分開、同時或依序投與有效量之式(1)之化合物與 144363.doc 201032806 mTOR抑制劑之組合。 在本發明之較佳實施例中,提供作為第一醫藥組份之式 (III)化合物,其與作為第二醫藥組份之mTOR抑制劑組 合:RaS is selected from the group consisting of: (1) hydrogen, (2) halogen, (3) hydroxyl, (4) CVC6 alkoxy, (5) mercaptan, (6) CVC6 alkyl mercaptan, (7) substituted or Unsubstituted alkyl, (8) amino or substituted amine, (9) substituted or unsubstituted aryl, 144363.doc 201032806 (10) substituted or unsubstituted heteroaryl and (11) a substituted or unsubstituted heterocyclic group; R is selected from the group consisting of: (1) hydrogen, (2) substituted or unsubstituted C1-c6 alkyl, (3) substituted or unsubstituted C2-C6 alkenyl (4) Substituted or unsubstituted c2_C6 alkynyl, (5) substituted or unsubstituted 〇3-(:7-cycloalkyl, (6) substituted or unsubstituted (^-noncycloalkenyl, (7) a substituted or unsubstituted aryl group, (8) a substituted or unsubstituted heteroaryl group, and (9) a substituted or unsubstituted heterocyclic group; Rb is selected from the group consisting of: (1) substituted or Unsubstituted c3_c7 cycloalkyl, (2) substituted or unsubstituted (:5-(:7-cycloalkenyl, (3) substituted or unsubstituted aryl, (4) substituted or unsubstituted Aryl, and (5) substituted or unsubstituted a ring group; and the restriction is that if Ra is an amine group, Rb is not a phenyl group, a 4-alkyl-phenyl group, a 4-alkyloxyphenyl group or a 4-functional phenyl group, and the component (b) is a group. mTOR inhibitor. The compound of formula (I) may be combined with an mTOR inhibitor in a pharmaceutically acceptable carrier. In the method of treating a proliferative disease, the patient in need may be together or separately, simultaneously or sequentially A combination of an effective amount of a compound of formula (1) and a 144363.doc 201032806 mTOR inhibitor. In a preferred embodiment of the invention, a compound of formula (III) is provided as a first pharmaceutical component, The combination of mTOR inhibitors of the two medical components:
(III) 或其立體異構體、互變異構體、醫藥上可接受之鹽、或 前藥,其中 其中1^係選自由下列組成之群: (1) 氫, (2) i 素,(III) or a stereoisomer, tautomer, pharmaceutically acceptable salt thereof, or prodrug thereof, wherein 1^ is selected from the group consisting of: (1) hydrogen, (2) i,
(3) 經基, (4) CVC6烷氧基, (5) 硫醇, (6) CVC6烷基硫醇, (7) 經取代或未經取代Ci-Ce烷基, (8) 胺基或經取代胺基, (9) 經取代或未經取代芳基, (10) 經取代或未經取代雜芳基,及 144363.doc 201032806 * (Π)經取代或未經取代雜環基; R54為氯或者經取代或未經取代Cl-c6燒基; '為氫、烷基、烷氧基、或豳代基; :其R7、R1R9各自獨立地選自由氫、烷基、炫氧基、 =基、經取代絲經取㈣基、及經取㈣未經取代錦 方基組成之群;或者(3) thiol, (4) CVC6 alkoxy, (5) thiol, (6) CVC6 alkyl thiol, (7) substituted or unsubstituted Ci-Ce alkyl, (8) amine or Substituted amine group, (9) substituted or unsubstituted aryl, (10) substituted or unsubstituted heteroaryl, and 144363.doc 201032806 * (Π) substituted or unsubstituted heterocyclic group; R54 Is chlorine or substituted or unsubstituted Cl-c6 alkyl; 'is hydrogen, alkyl, alkoxy, or deuterated;; R7, R1R9 are each independently selected from hydrogen, alkyl, methoxy, a group consisting of: a substituted group, a substituted (tetra) group, and a (four) unsubstituted quinone group; or
“其立體異構體、互變異構體、醫藥上可接受之鹽、或前 樂,且限制條件為若R、胺基且R6、R7、R8及R9為氫,則 R不可為氫、烷基、烷氧基、或鹵代基。 在某些實施例中,提供式(IIIa)化合物:"A stereoisomer, tautomer, pharmaceutically acceptable salt thereof, or pre-existing, and the limitation is that if R, an amine group and R6, R7, R8 and R9 are hydrogen, then R may not be hydrogen or an alkane. Alkoxy, alkoxy, or halo. In certain embodiments, a compound of formula (IIIa) is provided:
或其互變異構體、醫藥上可接受之鹽、或前藥,其中 Ra、R4、R5、R6、R7、R8及R9均為如先前對式(m)所定義 且限制條件為若1^為胺基且R6、R7、尺8及R9為氫,則R5不 為氫、烷基、烷氧基、或_代基。Or a tautomer thereof, a pharmaceutically acceptable salt, or a prodrug thereof, wherein Ra, R4, R5, R6, R7, R8 and R9 are as defined above for formula (m) and the restriction is if 1^ Is an amine group and R6, R7, uldent 8 and R9 are hydrogen, and R5 is not hydrogen, alkyl, alkoxy, or methine.
在某些實施例中,Ra為氫。 在某些實施例中’ Ra為經取代或未經取代Cl-C6烷基。 144363.doc 201032806 在某些實施例中,1^為(:1_(:6烷基或鹵代Ci_C6烷基。在 某些此等實施例中,Ra為甲基。 在本發明之某些實施例中’ R4係選自由氫、苄基、卜(4_ 曱氧基苯基)乙基、甲基、3-胺基丙基及2-甲基-2-嗎啉基 丙基組成之群。在其他實施例中,R係選自由甲基、乙 基、烯丙基、3-甲基-丁基及異丁基組成之群。 在某些實施例中’ R5為氫或氟。在某些態樣中,R5為 氟。 在某些實施例中,R5為甲基或甲氧基。 在某些實施例中,R7、R8及R9各自為氫。 在某些實施例中’ R6係可經1至2個選自由鹵代基、烷氧 基、烷基、胺基、烷基胺基、_代烷基及鹵代烷氧基組成 之群之取代基取代的芳基或雜芳基。 在某些實施例中,R6係選自由經取代芳基及經取代雜芳 基組成之群,其中該芳基及雜芳基係選自由下列組成之 群.σ夫喃基、°比σ各基、苯基、吼咬基、》比嗪基、嘴咬基、 嗒嗪基、吡唑基、咪唑基、三唑基、吲哚基、σ惡二唑基、 噻二唑基、喹啉基 '異喹啉基、異噁唑基、嚼嗤基、售唑 基及噻吩基。在某些態樣中,上述基團可經1至2個選自由 齒代基、烧氧基、炫基、胺基、院基胺基、齒代烧基及鹵 代烷氧基組成之群之取代基取代。 在其他實施例中,R6係選自由下列組成之群:(2-羥基-乙基胺基)-°比唤-2-基、lH-η比°坐-4-基、1-曱基_lH-n比σ坐_4· 基、1-曱基-111-0比°坐-4-基、2-(5-甲基比嚏_2-基)-苯基、 144363.doc -9- 201032806 2,3-二氟-苯基、2,3-二曱氧基·苯基、2,4-二氟-苯基、2,4-二甲氧基-苯基、2,4-二甲氧基-嘧啶-5-基、2,5-二氟-苯 基、2,6-二氟-苯基、2,6-二甲基-吡啶-3-基、2-乙醯胺基苯 基、2 -胺基幾基苯基、2 -胺基-13密淀-5-基、2 -氯-4-甲氧基-嘯唆-5-基、2 -氣-5-氣-D比淀-3-基、2 -氣-苯基、2 -氯-°比〇定-3-基、2-氯-吼啶-4-基、2-二氟-3-曱氧基苯基、2-乙基-苯 基、2-乙氧基-噻唑-4-基、2-氟-3-曱氧基-苯基、2-氟-3-曱 基苯基、2 -氟·4-甲基-苯基、2-氟-5-甲氧基-苯基、2·氟- 5-曱基苯基、2-氣苯基、2 -氣-σ比咬-3 -基、2-輕基甲基-3 -曱 氧基苯基、2-羥基甲基苯基、2-異喹啉-4-基、2-曱氧基-5-三敦曱基-苯基、2·甲氧基-苯基、2 -甲氧基-0比淀-3_基、2-曱氧基-嘧啶-4-基、2-甲氧基-噻唑-4-基、2-甲基-苯基、2-曱基·。比。定-3 -基、2 -側氧基-1,2 -二風-°比。定-3 -基、2 -苯乳基 苯基、2-吼啶-3-基、2-嘧啶-5-基、2-三氟甲氧基苯基、2-三氟曱氧基-苯基、3,4-二曱氧基-苯基、3,5-二甲基-異噁 唑-4-基、3,6-二曱基-吡嗪-2-基、3-乙醯胺基苯基、3-胺基 罗炭基苯基、3 ->臭-苯基、3 -氣-°比0秦-2-基、3 -乱基苯基、3-二甲基胺基苯基、3 -乙乳基-苯基、3 -乙基-4-曱基-苯基、 3 -乙快基-苯基、3 -氣-6-甲乳基-。比°定-2-基、3 -氣苯基、3-氟-吼嗪-2-基、3-甲烷磺醯胺基苯基、3-甲氧基羰基苯 基、3-甲氧基苯基、3-甲氧基-吼嗪-2-基、3-曱基-3Η-咪唑 并[4,5-b]吡嗪-5-基、3 -曱基苯基、3 -曱基-吡啶-2-基、3-三氟甲氧基苯基、3-三氟曱基苯基、4,5-二曱氧基-嘧啶-2-基、4 -胺基-5-氣-嘯淀-2-基、4 -氯-2,5 -二甲氧基-苯基、4_ I44363.doc - 10- 201032806 氣-2-氟-苯基、4-氣-2-甲氧基-5-甲基-苯基、4-氯_〇比啶-3-基、4·二氣-2-甲基-苯基、4-乙氧基-5*鼠-哺咬·2-基、4 -乙 氧基-喊咬-2-基、4-乙氧基基、4-乙基比生-3-基、4 -氟-2-甲氧基-苯基、4 -氟-2-甲基-苯基、4 -氟苯基、 4-甲氧基-5-甲基-嘧啶-2-基、4-甲氧基-吡啶-3-基、4-甲氧 基-嘧啶-2-基、4-甲氧基-嘧啶-5-基、4-甲基-苯基、4-甲 基-吡啶-2-基、4-甲基-吡啶-3-基、4-吡咯啶-1_基_喊啶-2-基、5,6·二甲氧基-吡嗪-2-基、5-乙醯基-噻吩-2-基、5-胺 基-6-乙氧基-D比β秦-2-基、5-胺基-6-甲氧基·3 -甲基-ϋ比u桊- 2-基、5-胺基-6-甲氧基比咬-2-基、5-氣-4-甲氧基密咬-2-基、5 -氣-6-甲氧基-σ比唤-2-基、5 --一曱基胺基-6·甲氧基-°比 嗓-2-基、5-氟-2-甲氧基苯基、5-氟-4-甲氧基-喷淀_2_基、 5 -氣-6-甲氧基-σ比唤-2 -基、5 -氣比咬-2-基、5 -曱氧基-0比 啶-3-基、5-甲氧基-噻吩-2-基、5-三氟曱基-嘧啶—2-基、6-乙酿基-π比咬-2 -基、6 -氯-^比唤-2 -基、6-乙氧基-β比唤-2-基、6-乙氧基-基、6 -氣-Dtt°定-2 -基、6-氣比咬- 3-基、6-經基-°比°定-2-基、6-甲氧基-5-甲基胺基-°比唤-2-基、 6-甲氧基-5-甲基·吼嗪-2-基、6_甲氧基比嗪-2-基、6-甲氧 基-°比。定-2_基、6·甲氧基-°比°定-3·基、6_甲基胺基-吼嘻_2一 基、6 -甲基-0比°定-2-基、5-胺基- 6-(2,2,2-二氣乙氧基)〇比唤_ 2-基及6·三氟甲基-吡啶·2-基。 本發明亦係關於諸如下列等Hsp90抑制劑之用途:式⑴) 之異噁唑衍生物及其區域異構體以及其鹽、溶劑合物及水 合物、以及其前藥 144363.doc -11 · 201032806In certain embodiments, Ra is hydrogen. In certain embodiments 'Ra is a substituted or unsubstituted Cl-C6 alkyl group. 144363.doc 201032806 In certain embodiments, 1 is (: 1_(: 6 alkyl or halogenated Ci_C6 alkyl. In certain such embodiments, Ra is methyl. Certain embodiments of the invention In the example, 'R4 is selected from the group consisting of hydrogen, benzyl, b-(4-methoxyphenyl)ethyl, methyl, 3-aminopropyl and 2-methyl-2-morpholinylpropyl. In other embodiments, R is selected from the group consisting of methyl, ethyl, allyl, 3-methyl-butyl, and isobutyl. In certain embodiments 'R5 is hydrogen or fluoro. In some embodiments, R5 is fluoro. In certain embodiments, R5 is methyl or methoxy. In certain embodiments, R7, R8, and R9 are each hydrogen. In certain embodiments, the 'R6 system An aryl or heteroaryl group may be substituted with 1 to 2 substituents selected from the group consisting of halo, alkoxy, alkyl, amine, alkylamino, alkyl, and haloalkoxy. In certain embodiments, R6 is selected from the group consisting of substituted aryl and substituted heteroaryl, wherein the aryl and heteroaryl are selected from the group consisting of: σ-fumonyl, ° σ Base, phenyl, thiol base, bis-azine Base, mouth bite, pyridazinyl, pyrazolyl, imidazolyl, triazolyl, fluorenyl, σoxadiazolyl, thiadiazolyl, quinolyl 'isoquinolyl, isoxazolyl, Chewing thiol, oxazolyl and thienyl. In some aspects, the above groups may be selected from 1 to 2 selected from a dentate group, an alkoxy group, a leukoyl group, an amine group, a aryl group, a tooth generation. Substituent substituents of the group consisting of alkyl and haloalkoxy groups. In other embodiments, R6 is selected from the group consisting of: (2-hydroxy-ethylamino)-pyr-2-yl, lH- η ratio ° sit-4-yl, 1-mercapto-lH-n ratio σ sit _4· base, 1-mercapto-111-0 ratio ° sit-4-yl, 2-(5-methyl 嚏_2-yl)-phenyl, 144363.doc -9- 201032806 2,3-difluoro-phenyl, 2,3-dimethoxyoxyphenyl, 2,4-difluoro-phenyl, 2, 4-dimethoxy-phenyl, 2,4-dimethoxy-pyrimidin-5-yl, 2,5-difluoro-phenyl, 2,6-difluoro-phenyl, 2,6-di Methyl-pyridin-3-yl, 2-ethylamidophenyl, 2-aminophenyl, 2-amino-13-pent-5-yl, 2-chloro-4-methoxy- Xiaoxiao-5-based, 2-gas-5-gas-D ratio -3-yl, 2- gas-phenyl, 2-chloro-pyridine-3-yl, 2- - aridin-4-yl, 2-difluoro-3-indolylphenyl, 2-ethyl-phenyl, 2-ethoxy-thiazol-4-yl, 2-fluoro-3-indolyloxy -phenyl, 2-fluoro-3-indolylphenyl, 2-fluoro-4-methyl-phenyl, 2-fluoro-5-methoxy-phenyl, 2·fluoro-5-nonylphenyl , 2-gas phenyl, 2- gas-σ ratio acetyl-3-yl, 2-carbomethyl-3-methoxyoxyphenyl, 2-hydroxymethylphenyl, 2-isoquinoline-4- , 2-decyloxy-5-triptanyl-phenyl, 2·methoxy-phenyl, 2-methoxy-0-precipitate-3-yl, 2-decyloxy-pyrimidine-4 -yl, 2-methoxy-thiazol-4-yl, 2-methyl-phenyl, 2-indenyl. ratio. Determine the 3-amino group, 2-o-oxy-1,2-dipho-pyr ratio. 3--3-yl, 2-phenylphenylphenyl, 2-oxaridin-3-yl, 2-pyrimidin-5-yl, 2-trifluoromethoxyphenyl, 2-trifluorodecyloxy-benzene , 3,4-dimethoxy-phenyl, 3,5-dimethyl-isoxazol-4-yl, 3,6-dimercapto-pyrazin-2-yl, 3-acetamidamine Phenylphenyl, 3-aminocarbophenyl, 3 -> odor-phenyl, 3- gas-° ratio 0-methyl-2-yl, 3-oxyl phenyl, 3-dimethylamino Phenyl, 3-ethylidyl-phenyl, 3-ethyl-4-indolyl-phenyl, 3-ethylhexyl-phenyl, 3- gas-6-methyllacyl-. Ratio 定-2-yl, 3- gas phenyl, 3-fluoro-pyridazin-2-yl, 3-methanesulfonylaminophenyl, 3-methoxycarbonylphenyl, 3-methoxybenzene , 3-methoxy-pyridazin-2-yl, 3-mercapto-3Η-imidazo[4,5-b]pyrazin-5-yl, 3-nonylphenyl, 3-indenyl- Pyridin-2-yl, 3-trifluoromethoxyphenyl, 3-trifluorodecylphenyl, 4,5-dimethoxyoxy-pyrimidin-2-yl, 4-amino-5-gas- whistling -2--2-yl, 4-chloro-2,5-dimethoxy-phenyl, 4_ I44363.doc - 10- 201032806 gas-2-fluoro-phenyl, 4-vapor-2-methoxy-5 -Methyl-phenyl, 4-chloro-indolepyridin-3-yl, 4·di-2-methyl-phenyl, 4-ethoxy-5*-rat-biting 2-base, 4 -ethoxy-choke-2-yl, 4-ethoxy, 4-ethylbi-3-yl, 4-fluoro-2-methoxy-phenyl, 4-fluoro-2-methyl -Phenyl, 4-fluorophenyl, 4-methoxy-5-methyl-pyrimidin-2-yl, 4-methoxy-pyridin-3-yl, 4-methoxy-pyrimidine-2- , 4-methoxy-pyrimidin-5-yl, 4-methyl-phenyl, 4-methyl-pyridin-2-yl, 4-methyl-pyridin-3-yl, 4-pyrrolidine-1 _ base_ shy-2-yl, 5,6-dimethoxy-pyrazin-2-yl, 5-ethenyl-thiophen-2-yl, 5-amino-6-ethoxy-D Ratio ββ-2-yl, 5-amino-6-methoxy·3-methyl-oxime ratio u桊-2-yl, 5-amino-6-methoxyl-butyl-2-yl, 5-A-4-methoxy methoxy-2-yl, 5- gas-6-methoxy-σ bis-2-yl, 5-monodecylamino-6-methoxy-°嗓-2-yl, 5-fluoro-2-methoxyphenyl, 5-fluoro-4-methoxy-spray-_2-based, 5- gas-6-methoxy-σ- 2-based, 5- gas ratio bit-2-yl, 5-methoxy-3-pyridin-3-yl, 5-methoxy-thiophen-2-yl, 5-trifluorodecyl-pyrimidine-2 -6,6-ethyl-based-π ratio bit-2-yl, 6-chloro-^ is a 2-yl group, 6-ethoxy-β is-2-yl, 6-ethoxy-yl , 6 - gas - Dtt ° -2 - base, 6-gas ratio bite - 3-base, 6-carbyl-to-pylory-2-yl, 6-methoxy-5-methylamino group - ° -2--2-yl, 6-methoxy-5-methyl phthalazin-2-yl, 6-methoxypyrazin-2-yl, 6-methoxy-° ratio. -2 - yl, 6 · methoxy- ° ratio -3 - group, 6 - methylamino - 吼嘻 - 2 - group, 6 - methyl - 0 - dec-2-yl, 5 -Amino-6-(2,2,2-dioxaethoxy)indole is a 2-yl group and a 6-trifluoromethyl-pyridine-2-yl group. The present invention also relates to the use of an Hsp90 inhibitor such as the following: the isoxazole derivative of the formula (1)) and its regioisomers as well as salts, solvates and hydrates thereof, and prodrugs thereof 144363.doc-11 201032806
(D) 其中每一R獨立地表示可選取代基且R3表示羧醯胺基團。 本發明之組合包括靶向、降低或抑制絲胺酸/蘇胺酸 mTOR激酶之活性/功能之化合物。此等化合物可稱作 「mTOR抑制劑」且包括但不限於靶向/抑制mTOR激酶家 族成員之化合物、蛋白或抗體,例如,RAD、雷帕黴素 (西羅莫司(sirolimus))及其衍生物/類似物,例如,依維莫 司(everolimus)或RAD001。西羅莫司亦以名稱RAPAMUNE 為人所知且依維莫司或RAD001以名稱CERTICAN為人所 知。靶向/抑制mTOR激酶家族成員之其他化合物、蛋白或 抗體包括CCI-779、ABT578、SAR543及子囊黴素 (ascomycin),其係FK506之乙基類似物。亦包括來自Ariad 之 AP23573及 AP23841。 較佳mTOR抑制劑係依維莫司、雷帕黴素、子囊黴素及 雷帕黴素衍生物。 【實施方式】 提供下列定義以更好地理解本發明。 「烷基」或「未經取代烷基」係指不含雜原子之飽和烴 基團。因此,該術語包括直鏈烷基,例如,曱基、乙基、 丙基、丁基、戍基、己基、庚基、辛基、壬基、癸基、十 144363.doc -12- 201032806 一烷基、十二烷基及諸如此類。該術語亦包括直鏈烷基之 具支鏈同分異構體,包括但不限於以實例方式提供之下列 基團:-CH(CH3)2、-CH(CH3)(CH2CH3)、-CH(CH2CH3)2、 -c(ch3)3、-c(ch2ch3)3、-ch2ch(ch3)2、-ch2ch(ch3) • (ch2ch3)、-ch2ch(ch2ch3)2、-ch2c(ch3)3、-ch2c (CH2CH3)3、-ch(ch3)ch(ch3)(ch2ch3)、-ch2ch2ch (ch3)2、-ch2ch2ch(ch3)(ch2ch3)、-ch2ch2ch(ch2ch3)2、 -ch2ch2c(ch3)3、-ch2ch2c(ch2ch3)3、-ch(ch3)ch2ch Φ (ch3)2、-ch(ch3)ch(ch3)ch(ch3)2、-ch(ch2ch3)ch (ch3)ch(ch3)(ch2ch3)、及其他。因此,術語「烷基」包 括一級烷基、二級烷基及三級烷基。較佳烷基包括具有1 至12個、1至6個、或1至3個碳原子之直鏈及具支鏈烷基。 「伸烷基」或「未經取代伸烷基」係指上文針對「烷 基」所述但具有兩個連接點之相同殘基。例示性伸烷基包 括伸乙基(-CH2CH2-)、伸丙基(-CH2CH2CH2-)及二甲基伸 丙基(-CH2C(C H3)2CH2-)。 「烯基」或「未經取代烯基」係指具有一或多個碳碳雙 鍵並具有2至約20個碳原子之直鏈及具支鏈烴基團。較佳 •烯基包括具有2至12個、或2至6個碳原子之直鏈及具支鏈 、稀基。 「快基」或「未經取代炔基」係指具有一或多個碳碳三 鍵並具有2至約20個碳原子之直鏈及具支鏈烴基團。較佳 炔基包括具有2至12個、或2至6個碳原子之直鏈及具支鏈 炔基。 144363.doc •13· 201032806 「環烧基」或「未經取代環縣」係指單環或多環燒基 取代基。代表性環烷基包括環丙基、環丁基、環戊基環 己基、環庚基及環辛基。較佳環烷基具有3至7個碳原子。 「環烯基」或「未經取代環烯基」係指具有至少一個環 碳碳雙鍵之單環或多環烷基取代基。較佳環烯基具有5至7 個碳原子且包括環戊烯基及環己烯基。 「經取代烷基」係指其中一或多個碳鍵結或氫鍵結經由 一諸如(但不限於)下列等非氫原子或非碳原子鍵結代替之 如上文所定義烷基:鹵素原子,例如,F、C1、^及工;存 於諸如羥基、烷氧基、芳氧基及酯基團等基團中之氧Z 子;存於諸如硫醇基團、烷基硫醚及芳基硫醚、颯、磺醯 基及亞颯基團等基團中之硫原子;存於諸如胺基、酿胺 基、烷基胺基、芳基胺基、烷基芳基胺基、二芳基胺基、 N-氧化物、醯亞胺及烯胺等基團中之氮原子。經取代^基 亦包括其中-或多個碳原子或氫原子鍵結經由雜原子 如’存於側氧基、幾基、缓基及醋基團中之氧;或存於諸 如亞胺、肟、腙及腈等基團中之氮)高級鍵結(例如,雙鍵 或三鍵)代替之基團。經取代烷基進一步包括其中一或多 個碳原子或氫原子鍵結經由芳基、雜芳基、雜環基、環院 基或環烯基鍵結代替之烷基。較佳經取代烷基尤其包括= 中-或多個碳原子或氫原子鍵結經由一或多個氣、氣或演 基團鍵結代替之燒基。另一較佳經取代貌基係三敦甲基及 含有三氟甲基之其他烧基。其他較佳經取代烧基包括二等 其中一或多個碳原子或氫原子鍵結經由氧原子鍵結代替之 144363.doc -14· 201032806 烷基以使得該經取代烷基含有羥基、烷氧基或芳氧基。其 他較佳經取代烷基包括具有胺基,或經取代或未經取代烷 基胺基、芳基胺基、雜環基胺基之烷基。其他較佳經取代 烷基包括彼等其中一或多個碳原子或氫原子鍵結經由芳 •基、雜芳基、雜環基或環烷基鍵結代替之烷基。經取代烷 .基之實例係:-(ch2)3nh2、-(ch2)3nh(ch3)、-(ch2)3nh (ch3)2、-CH2C(=CH2)CH2NH2、-CH2C(=0)CH2NH2 ' -ch2s(=o)2ch3、-ch2och2nh2、-ch2co2h。經取代烷基 ❹ 之取代基的實例係:-CH2OH、-OH、-OCH3、-OC2H5、 -0CF3 ' oc(=o)ch3、-oc(=o)nh2、-oc(=o)n(ch3)2、 -CN、-no2、-c(=o)ch3、-co2h、-co2ch3、-CONH2、 -NH2、-N(CH3)2、 -NHSO2CH3 ' -NHCOCH3 > -NHC(=0) OCH3、-NHSO-2CH3、-so2ch3、-so2nh2及齒代基。 「經取代烯基」相對於未經取代烯基如同經取代烷基相 對於未經取代烷基一般具有相同含義。經取代烯基包括其 中非碳原子或非氫原子鍵結至以雙鍵鍵結另一碳原子之碳 ® 的烯基及彼等其中非碳原子或非氫原子之一鍵結至未參與 另一碳原子之雙鍵之碳的烯基。 - 「經取代炔基」相對於未經取代炔基如同經取代烷基相 _ 對於未經取代烷基一般具有相同含義。經取代炔基包括其 中非碳原子或非氫原子鍵結至以三鍵鍵結另一碳原子之碳 的炔基及彼等其中一非碳原子或非氫原子鍵結至未參與另 一碳原子之三鍵之碳的快基。 「經取代環烷基」相對於未經取代環烷基如同經取代烷 144363.doc -15- 201032806 基相對於未經取代烧基一般具有相同含義。 「經取代環烯基」相對於未經取代環烯基如同經取代烷 基相對於未經取代烧基一般具有相同含義。 「芳基」或「未經取代芳基」係指不含環雜原子之單環 及多環芳香族基團。此等基團可含有6至14個碳原子但較 佳含6個碳原子。用作本發明化合物之取代基的例示性芳 基部分包括苯基、秦基及諸如此類。 「芳烷基」或「芳基烷基」係指經如上文所定義芳基取 代之烷基。通常,本發明化合物中所用芳烷基具有丨至6個 併入該芳烷基之烷基部分中的碳原子。本發明化合物中所 用適宜芳烷基包括(例如)苄基及諸如此類。「雜芳基烧 基」或「雜芳烧基」係指經如上所定義雜芳基取代之烧 基。通常,本發明化合物中所用雜芳基烷基具有}至6個併 入該芳烷基之烷基部分中的竣原子。本發明化合物中所用 適宜雜芳基烷基包括(例如)吡啶曱基及諸如此類。 「烷氧基」係指其中R20為C^C:7烷基或經取代烷基之 R20〇-。在某些實施例中,r2〇為Cl_C6烷基。烷氧基之代表 性實例包括甲氧基、乙氧基、第三_ 丁氧基、三氟甲氧基 及諸如此類。 「胺基」在本文中係指基團·νη2。 「經取代胺基」係指其中尺6〇及R61獨立地選自由下列組 成之群之基團-NR6GR61 :氫、烷基 '經取代烷基、烯基、 經取代烯基、炔基、經取代炔基、芳基、經取代芳基、環 烷基、經取代環烷基、雜芳基、經取代雜芳基、雜環基、 144363.doc •16· 201032806 經取代雜環基、-S〇2-烧基、-S〇2_經取代烧基;且其中r6〇 及R61與其所鍵結氮原子連接在一起以形成雜環基或經取 代雜環基,限制條件為R6G及二者均不為氫。若為氯 且R61為烷基,則經取代胺基在本文中經常稱作烷基胺 •基。若R60及R61均為烷基,則經取代胺基在本文中經常稱 、作二烷基胺基。當提及經單次取代之胺基時,其意指r6〇 或R為氫但二者不可同時為氫。當提及經兩次取代之胺 基時,其意指R6G及R61均不為氫。術語「烷基胺基」在本 # 文中係指其中尺6〇係C^C7烷基且R60係氫或— 基之基 團-nr60r61。術語「二烷基胺基」係指其中R6〇及R6丨均為 CVC7烷基之基團-NrMrM。術語「芳基胺基」在本文中係 指其中R60係CVC7芳基且r6〗係氫、Ci_C7烷基或c5_C7芳基 之基團-NR60R61。術語「芳烷基胺基」在本文中係指其中 R60為芳烷基且R61為氫、Cl_C7烷基、eye?芳基或CrC?芳 烷基之基團-NR6()R61。 「脒基」係指R40-C(=N)-NR41-(該基團位於「Nl」氮原 響子處)及R,NR41)C=N_(該基團位於「n2」氮原子處)部 分,其中R41R41可為氫、Ci_C7炫基、芳基或(:5-(:7芳烧 基。 「烧氧基烧基」係、指其中叫係Ci_c7烧基且叫係c】_c7 烷基之基團-alkrO-aikr術語「芳氧基烧基」係指基團_ (Ci-C7烧基)-0-(C5-C7芳基)。 「烷氧基烷基胺基」在本文中係指基團_NR27_(烷氧基烷 基),其中R27通常為氫、C5_C7芳烷基4Ci_C7烷基。 144363.doc •17- 201032806 「胺基羰基」在本文中係指基團-c(o)-NH2。「經取代 胺基羰基」在本文中係指基團-c(o)-nr28r29,其中R28為 GC7院基且R為氫或院基。術語「芳基胺基羰基y 在本文中係扎其中R3〇為Cs_C7芳基且R3〗為氫、烷基 或CVC:7芳基之基團。「芳烷基胺基羰基」 在本文中係指基團-C(0)NR32R33,其中R32SC5_C7芳烷基 且R33係氣、(VC7烧基、C5_C7芳基或C5_C7芳烷基。 , 「胺基磺醯基」在本文中係指基團-s(o)2-nh2。「經取 代胺基續酿基」在本文中係指其中r34為Ci_c7院基且r35為 氫或CVC7烷基之基團_s(〇)2_NR34R35。術語「芳烷基胺基 確酿基芳基」在本文中係指基團-(c5-c7芳基)-s(o)2-NH-芳 烷基。 「芳氧基」係指其中尺5〇為芳基之r5〇〇_。 「羰基」係指二價基團_c(0)_。「烷基羰基」係指基團_ c(o)烷基。「芳基羰基」係指基團_c(〇)芳基。類似地, 術語「雜芳基幾基」、「芳燒基幾基」及「雜芳烧基幾 基」係指其申R分別為雜芳基、芳烷基及雜芳烷基之❹ -C(0)-R。 「羰基氧基」通常係指基團_c(0)_o_。此等基團包括 酯,-c(o)-〇-R36,其中r36係c】 c7烷基、^^環烷基芳 基或Cs-C?芳烧基。術語「芳基羰基氧基」在本文中係指 - 基團-C(0)-0-(芳基)。術語「芳烷基羰基氧基」在本文中 係指基團-C(〇)-〇-(c5-c7芳烷基)。 「5衣烷基烷基」係指經如上所定義環烷基取代之烷基。 144363.doc -18· 201032806 通常,環烷基烷基具有1至6個併入該環烷基烷基之烷基部 分中的碳原子。 「敷基胺基」係指其中該羰基胺基之醯胺氮之氫原子可 經匸丨-心烧基、芳基或Cs-C7芳烧基代替之二價基團 c(o)·。羰基胺基包括諸如胺基甲酸酯(_NH_c(〇)_〇_R28)及 醯胺基-NH-C(0)R28等部分,其中R28為直鏈或具支鏈心―… 烷基、Cs-C7環烷基、或芳基或C5_C?芳烷基。術語「烷基 幾基胺基」係指基團-NH-C(0)-R28’,其中R28’為在其主鏈 結構中具有1至約7個碳原子之烷基。術語「芳基幾基胺 基」係指其中R29為CVC7芳基之基團·NH-qc^R29。類似 地,術語「芳烷基羰基胺基」係指其中尺29係c5_C7芳烷基 之羰基胺基。 「胍基(Guanidino或guanidyG」係指衍生自胍,h2n_ C(-NH)-NH2之部分^此等部分包括彼等在攜有縮甲酸雙 鍵之氮原子處受到鍵結之部分(胍之「2」_位,例如,二胺 基亞曱基胺基,(H2N)2C=NH-)及彼等在攜有縮曱醛單鍵之 任一氮原子處受到鍵結之部分(胍之「1」_及/或「3」_ 位,例如,H2N-C(=NH)-NH-:^任一氮原子處之氫原子可 經由適宜取代基(諸如Ci-C7烷基、芳基或(:5_(:7芳烷基)代 替。 「由素」或「鹵代基」係指氣、溴、氟及蛾基團。術語 「鹵代烷基」係指經一或多個函素原子取代之烷基基團。 「鹵代院基」基團包括-CF3。術語「鹵代烷氧基」係指經 一或多個鹵素原子取代之烷氧基基團。「齒代烷氧基」基 144363.doc -19· 201032806 團包括-OCF3 及 _〇ch2CF3。 「羥基(Hydroxyl或hydroxy)」係指基團。 本文所用「雜環基」或「未經取代雜環基固」「 環」或「未經取代雜環」以及「雜環基」或「未經^ 環基」、「雜環院基」或「未經取代雜環烧基」係於人, 選自氮、氧或硫之雜原子的任—單環或多環狀非曰= 化合物。實例包括含有選自氮、氧及硫之雜原子 = 環或含有⑴個選自由氮、氧或硫組成之群之雜原子的員$ 或6員環;其中該5員環具有0至1個雙鍵且該6員環具有〇 2個雙鍵;其中該氮原子及硫原子視情況可經氧化;其中 該氮及硫雜原子視情況可經四級化;且包括其中任—上V 雜環狀環稠合至苯環或另—上文獨立較義之…員H 狀環的任-雙環基團,限制條件為連接點經由雜環狀環。 雜環狀部分可經(例如)獨立地選自但不限於下列之各取 代基取代1次或2次:經基、烧氧基、画代基、側氧基 (c=o)、烷基亞胺基(rmn=,其中R”為烷基或烷氧基)、 胺基、烧基胺基、ϋ基胺基统基、烧氧基、硫代燒氧基、 聚烷氧基、烷基、環烷基或南代烷基。 該等雜環基團可在如下所示之各位置處受到連接,如彼 等熟習有機化學及醫藥化學之技術人員結合本文揭示内容 可理解。 .〇、〇. Μ(D) wherein each R independently represents an optional substituent and R3 represents a carboxyguanamine group. Combinations of the invention include compounds that target, reduce or inhibit the activity/function of the serine/threonate mTOR kinase. Such compounds may be referred to as "mTOR inhibitors" and include, but are not limited to, compounds, proteins or antibodies that target/inhibit members of the mTOR kinase family, eg, RAD, rapamycin (sirolimus) and Derivatives/analogs, for example, everolimus or RAD001. Sirolimus is also known by the name RAPAMUNE and is known by the name CERTICAN of everolimus or RAD001. Other compounds, proteins or antibodies that target/inhibit members of the mTOR kinase family include CCI-779, ABT578, SAR543 and ascomycin, which are ethyl analogs of FK506. Also included are AP23573 and AP23841 from Ariad. Preferred mTOR inhibitors are everolimus, rapamycin, ascomycin and rapamycin derivatives. [Embodiment] The following definitions are provided to better understand the present invention. "Alkyl" or "unsubstituted alkyl" means a saturated hydrocarbon group which does not contain a hetero atom. Thus, the term includes straight-chain alkyl groups such as, for example, fluorenyl, ethyl, propyl, butyl, decyl, hexyl, heptyl, octyl, decyl, decyl, 144, 363.doc -12- 201032806 Alkyl, dodecyl and the like. The term also includes branched isomers of linear alkyl groups including, but not limited to, the following groups provided by way of example: -CH(CH3)2, -CH(CH3)(CH2CH3), -CH ( CH2CH3)2, -c(ch3)3, -c(ch2ch3)3, -ch2ch(ch3)2, -ch2ch(ch3) • (ch2ch3), -ch2ch(ch2ch3)2, -ch2c(ch3)3,- Ch2c (CH2CH3)3, -ch(ch3)ch(ch3)(ch2ch3), -ch2ch2ch(ch3)2, -ch2ch2ch(ch3)(ch2ch3), -ch2ch2ch(ch2ch3)2, -ch2ch2c(ch3)3,- Ch2ch2c(ch2ch3)3, -ch(ch3)ch2ch Φ(ch3)2, -ch(ch3)ch(ch3)ch(ch3)2, -ch(ch2ch3)ch(ch3)ch(ch3)(ch2ch3), and others. Thus, the term "alkyl" includes primary alkyl, secondary alkyl and tertiary alkyl. Preferred alkyl groups include straight chain and branched alkyl groups having from 1 to 12, from 1 to 6, or from 1 to 3 carbon atoms. "Alkyl" or "unsubstituted alkyl" means the same residue as described above for "alkyl" but having two points of attachment. Exemplary alkylene groups include ethyl (-CH2CH2-), propyl (-CH2CH2CH2-) and dimethyl propyl (-CH2C(C H3) 2CH2-). "Alkenyl" or "unsubstituted alkenyl" means a straight-chain or branched hydrocarbon group having one or more carbon-carbon double bonds and having from 2 to about 20 carbon atoms. Preferably, the alkenyl group includes a linear and branched, dilute group having 2 to 12 or 2 to 6 carbon atoms. "Quick base" or "unsubstituted alkynyl" means a straight-chain or branched hydrocarbon group having one or more carbon-carbon triple bonds and having from 2 to about 20 carbon atoms. Preferred alkynyl groups include straight chain and branched alkynyl groups having 2 to 12 or 2 to 6 carbon atoms. 144363.doc •13· 201032806 “Cycloalkyl" or “unsubstituted ring” means a monocyclic or polycyclic alkyl substituent. Representative cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentylcyclohexyl, cycloheptyl and cyclooctyl. Preferred cycloalkyl groups have from 3 to 7 carbon atoms. "Cycloalkenyl" or "unsubstituted cycloalkenyl" refers to a monocyclic or polycyclic alkyl substituent having at least one cyclic carbon-carbon double bond. Preferred cycloalkenyl groups have 5 to 7 carbon atoms and include cyclopentenyl and cyclohexenyl. "Substituted alkyl" means an alkyl group as defined above wherein one or more carbon bonds or hydrogen bonds are replaced by a non-hydrogen atom or a non-carbon atom such as, but not limited to, the following: halogen atom , for example, F, C1, ^, and work; oxygen Z-substituents in groups such as hydroxyl, alkoxy, aryloxy, and ester groups; present in such groups as thiol groups, alkyl sulfides, and aromatics a sulfur atom in a group such as a thioether, an anthracene, a sulfonyl group or an anthracene group; and is present in, for example, an amine group, a arylamino group, an alkylamino group, an arylamino group, an alkylarylamino group, a nitrogen atom in a group such as an arylamine group, an N-oxide, a quinone imine, and an enamine. Substituted groups also include oxygen in which one or more carbon atoms or hydrogen atoms are bonded via a hetero atom such as 'in the pendant oxy group, a few groups, a slow group, and a vine group; or in an imine such as an imine Nitrogen in a group such as hydrazine and nitrile) a group in which a higher bond (for example, a double bond or a triple bond) is substituted. The substituted alkyl group further includes an alkyl group in which one or more carbon atoms or hydrogen atoms are bonded via an aryl group, a heteroaryl group, a heterocyclic group, a ring-based group or a cycloalkenyl bond. Preferred substituted alkyl groups include, in particular, a group of = or - or a plurality of carbon atoms or hydrogen atoms bonded via one or more gas, gas or radical linkages. Another preferred substituted group is the tridontyl group and other alkyl groups containing a trifluoromethyl group. Other preferred substituted alkyl groups include 144363.doc -14· 201032806 alkyl groups in which one or more carbon atoms or hydrogen atom bonds are replaced via oxygen atom bonding such that the substituted alkyl group contains a hydroxyl group, an alkoxy group. Base or aryloxy. Other preferred substituted alkyl groups include those having an amine group, or a substituted or unsubstituted alkylamino group, an arylamino group, a heterocyclic amino group. Other preferred substituted alkyl groups include those wherein one or more of the carbon or hydrogen atoms are bonded via an aryl, heteroaryl, heterocyclyl or cycloalkyl linkage. Examples of substituted alkane groups are: -(ch2)3nh2, -(ch2)3nh(ch3), -(ch2)3nh(ch3)2, -CH2C(=CH2)CH2NH2, -CH2C(=0)CH2NH2' -ch2s(=o)2ch3, -ch2och2nh2, -ch2co2h. Examples of the substituent of the substituted alkylhydrazine are: -CH2OH, -OH, -OCH3, -OC2H5, -0CF3' oc(=o)ch3, -oc(=o)nh2, -oc(=o)n( Ch3)2, -CN, -no2, -c(=o)ch3, -co2h, -co2ch3, -CONH2, -NH2, -N(CH3)2, -NHSO2CH3 '-NHCOCH3 > -NHC(=0) OCH3, -NHSO-2CH3, -so2ch3, -so2nh2 and a tooth base. The "substituted alkenyl group" generally has the same meaning as the unsubstituted alkyl group as compared with the unsubstituted alkyl group as compared with the unsubstituted alkyl group. The substituted alkenyl group includes an alkenyl group in which a non-carbon atom or a non-hydrogen atom is bonded to a carbon which is double-bonded to another carbon atom, and one of the non-carbon atoms or a non-hydrogen atom thereof is bonded to the other An alkenyl group of a carbon of a double bond of a carbon atom. - "Substituted alkynyl" has the same meaning as unsubstituted alkynyl as substituted alkyl. The substituted alkynyl group includes an alkynyl group in which a non-carbon atom or a non-hydrogen atom is bonded to a carbon bonded to another carbon atom by a triple bond, and one of the non-carbon atoms or a non-hydrogen atom is bonded to another carbon. The fast radical of the carbon of the three bonds of the atom. The "substituted cycloalkyl group" has the same meaning as the unsubstituted alkyl group with respect to the unsubstituted alkyl group as compared with the unsubstituted alkyl group as the substituted alkane 144363.doc -15-201032806. The "substituted cycloalkenyl group" has the same meaning as the unsubstituted alkyl group as compared with the unsubstituted alkyl group, as compared with the unsubstituted alkyl group. "Aryl" or "unsubstituted aryl" means a monocyclic or polycyclic aromatic group which does not contain a ring hetero atom. These groups may contain from 6 to 14 carbon atoms but preferably contain 6 carbon atoms. Exemplary aryl moieties for use as substituents for the compounds of the invention include phenyl, phenyl, and the like. "Aralkyl" or "arylalkyl" means an alkyl group substituted by an aryl group as defined above. Generally, the aralkyl group used in the compound of the present invention has from 丨 to 6 carbon atoms incorporated in the alkyl portion of the aralkyl group. Suitable aralkyl groups for use in the compounds of the invention include, for example, benzyl and the like. "Heteroarylalkyl" or "heteroaryl" refers to a radical substituted with a heteroaryl group as defined above. Usually, the heteroarylalkyl group used in the compound of the present invention has from ~ to 6 fluorene atoms incorporated in the alkyl moiety of the aralkyl group. Suitable heteroarylalkyl groups for use in the compounds of the invention include, for example, pyridinium and the like. "Alkoxy" means R20〇- wherein R20 is C^C:7 alkyl or substituted alkyl. In certain embodiments, r2〇 is a Cl_C6 alkyl group. Representative examples of alkoxy groups include methoxy, ethoxy, tert-butoxy, trifluoromethoxy and the like. "Amine" refers herein to the group νη2. "Substituted amine group" means a group wherein the ruthenium 6 and R61 are independently selected from the group consisting of -NR6GR61: hydrogen, alkyl 'substituted alkyl, alkenyl, substituted alkenyl, alkynyl, Substituted alkynyl, aryl, substituted aryl, cycloalkyl, substituted cycloalkyl, heteroaryl, substituted heteroaryl, heterocyclic, 144363.doc •16· 201032806 substituted heterocyclic, S〇2-alkyl, -S〇2_substituted alkyl; and wherein r6〇 and R61 are bonded to the nitrogen atom to which they are bonded to form a heterocyclic group or a substituted heterocyclic group, the limitation is R6G and None of them are hydrogen. In the case of chlorine and R61 is an alkyl group, the substituted amine group is often referred to herein as an alkylamine group. If both R60 and R61 are alkyl groups, substituted amino groups are often referred to herein as dialkylamino groups. When referring to a single substituted amine group, it means that r6? or R is hydrogen but the two are not simultaneously hydrogen. When referring to a twice substituted amino group, it means that neither R6G nor R61 is hydrogen. The term "alkylamino group" as used herein refers to a group wherein the aryl group is C^C7 alkyl and the group R60 is hydrogen or a group -nr60r61. The term "dialkylamino" refers to a group -NrMrM wherein R6 and R6 are both CVC7 alkyl. The term "arylamino" as used herein refers to a group -NR60R61 wherein R60 is CVC7 aryl and r6 is hydrogen, Ci_C7 alkyl or c5_C7 aryl. The term "aralkylamino" as used herein refers to a group -NR6()R61 wherein R60 is aralkyl and R61 is hydrogen, Cl_C7 alkyl, eye? aryl or CrC? arylalkyl. "脒" means R40-C(=N)-NR41- (the group is located at the "Nl" nitrogen atom) and R,NR41)C=N_ (the group is at the "n2" nitrogen atom) Wherein R41R41 can be hydrogen, Ci_C7 leukoyl, aryl or (:5-(:7 arylalkyl). "Alkoxyalkyl" system, which refers to the system Ci_c7 alkyl and is called c]_c7 alkyl The group -alkrO-aikr the term "aryloxyalkyl" refers to the group _ (Ci-C7 alkyl)-0-(C5-C7 aryl). "Alkoxyalkylamino" is used herein. Refers to the group _NR27_(alkoxyalkyl), wherein R27 is typically hydrogen, C5_C7 aralkyl 4Ci_C7 alkyl. 144363.doc •17- 201032806 "Aminocarbonyl" refers herein to the group -c(o -NH2. "Substituted aminocarbonyl" refers herein to the group -c(o)-nr28r29, wherein R28 is a GC7 building group and R is hydrogen or a deutero. The term "arylaminocarbonyl" is used herein. Wherein R3 is a Cs_C7 aryl group and R3 is a hydrogen, alkyl or CVC:7 aryl group. "Aralkylaminocarbonyl" refers herein to the group -C(0)NR32R33, Wherein R32SC5_C7 aralkyl and R33 is a gas, (VC7 alkyl, C5_C7 aryl or C5_C7 aralkyl. "Aminosulfonyl" as used herein refers to the group -s(o)2-nh2. "Substituted amine aryl" is used herein to mean that r34 is Ci_c7, and r35 is hydrogen or CVC7 alkyl. The group _s(〇)2_NR34R35. The term "aralkylamino-aryl-aryl" refers herein to the group -(c5-c7aryl)-s(o)2-NH-aralkyl "Aroyloxy" means r5〇〇_ wherein 5 〇 is an aryl group. "Carbonyl" means a divalent group _c(0)_. "Alkylcarbonyl" means a group _ c(o "Alkylcarbonyl" means a group _c(〇)aryl. Similarly, the terms "heteroaryl", "arylalkyl" and "heteroaryl" are used. Refers to ❹-C(0)-R, wherein R is heteroaryl, aralkyl and heteroarylalkyl. "Carboxyoxy" generally refers to the group _c(0)_o_. These groups include Ester, -c(o)-〇-R36, wherein r36 is c] c7 alkyl, cycloalkylaryl or Cs-C? arylalkyl. The term "arylcarbonyloxy" is used herein to mean - group -C(0)-0-(aryl). The term "aralkylcarbonyloxy" as used herein refers to the group -C(〇)-〇-(c5-c7 aralkyl). 5 alkylene alkyl" means A cycloalkyl-substituted alkyl group as defined above. 144363.doc -18· 201032806 Typically, a cycloalkylalkyl group has 1 to 6 carbon atoms incorporated in the alkyl moiety of the cycloalkylalkyl group. "Amine" means a divalent group c(o). wherein the hydrogen atom of the guanamine nitrogen of the carbonylamine group can be replaced by a ruthenium-heart-burning group, an aryl group or a Cs-C7 aryl group. The carbonylamino group includes a moiety such as a urethane (_NH_c(〇)_〇_R28) and a guanamine-NH-C(0)R28, wherein R28 is a linear or branched heart-...alkyl group, Cs-C7 cycloalkyl, or aryl or C5_C? aralkyl. The term "alkylaminoamino" refers to the group -NH-C(0)-R28', wherein R28' is an alkyl group having from 1 to about 7 carbon atoms in its backbone structure. The term "arylalkylamino" refers to a group wherein NH9 is a CVC7 aryl group. NH-qc^R29. Similarly, the term "aralkylcarbonylamino" refers to a carbonylamino group wherein the 29 is a c5-C7 aralkyl group. "Guanidino or guanidyG" means a moiety derived from hydrazine, h2n_C(-NH)-NH2, and such moieties include those which are bonded at the nitrogen atom carrying the carboxylic acid double bond (胍"2" _ position, for example, diamino sulfhydrylamino group, (H2N) 2C = NH-) and the moiety which is bonded at any nitrogen atom carrying a single chain of a acetal aldehyde (胍"1"_ and / or "3"_ position, for example, H2N-C(=NH)-NH-: ^ The hydrogen atom at any nitrogen atom may be via a suitable substituent (such as Ci-C7 alkyl, aryl) Or (:5_(:7 aralkyl) is substituted. "Yu" or "halo" refers to gas, bromine, fluorine and moth groups. The term "haloalkyl" refers to one or more functional atoms. Substituted alkyl group. "Halo-substituted" group includes -CF3. The term "haloalkoxy" means an alkoxy group substituted by one or more halogen atoms. "Tooth alkoxy" group 144363.doc -19· 201032806 The group includes -OCF3 and _〇ch2CF3. "Hydroxyl or hydroxy" means a group. "Heterocyclyl" or "unsubstituted heterocyclic ring" is used herein. "unsubstituted And "heterocyclic group" or "unsubstituted ring group", "heterocyclic compound group" or "unsubstituted heterocyclic group" are used in humans, and are selected from heteroatoms of nitrogen, oxygen or sulfur. Ring or polycyclic non-quinone = compound. Examples include a heteroatom containing a nitrogen, oxygen and sulfur = ring or a member or a 6 membered ring containing (1) a hetero atom selected from the group consisting of nitrogen, oxygen or sulfur; Wherein the 5-membered ring has 0 to 1 double bond and the 6-membered ring has 〇2 double bonds; wherein the nitrogen atom and the sulfur atom may be oxidized as appropriate; wherein the nitrogen and sulfur heteroatoms may pass through four stages as the case may be. And includes any-bicyclic group in which the above-mentioned V heterocyclic ring is fused to the benzene ring or another-independently independent H-shaped ring, with the proviso that the point of attachment is via a heterocyclic ring. The cyclic moiety can be substituted, for example, one or two times, independently, independently of, but not limited to, each of the following substituents: a benzyl group, an alkoxy group, a decyl group, a pendant oxy group (c=o), an alkyl group. Amino group (rmn=, wherein R" is alkyl or alkoxy), amine group, alkylamino group, mercaptoamine group, alkoxy group, thioalkyloxy group, polyalkoxy group, alkyl group , Alkyl or a Southern alkyl group. The heterocyclic groups can be attached at various positions as shown below, as will be understood by those skilled in the art of organic chemistry and medicinal chemistry in conjunction with the disclosure herein. Μ
0〆 X) οώ Α Υ 144363.doc •20- 2010328060〆 X) οώ Α Υ 144363.doc •20- 201032806
其中R為Η或雜環基取代基,如本文所述。 「雜芳基」《「未經取代雜芳基」在本文中係指在 環中具有1至4個雜原子作為環原子之芳香族基團,其紗 原子係碳原子。術語「雜芳基」包括其中氮係㈣子^ 以及其+至少-個環結構㈣㈣之料及完全飽和環, :如’本^^惡唑基(其具有一稍合至苯基之雜環基結 即’限制條件為連接點經由雜芳基環。雜芳 基可進-步經取代且可在各位置處受到連接,如彼等熟習 有機化學及醫藥化學之技術人員結合本文揭示内容可理 解。代表性、經取代及未經取代雜芳基包括(例如)彼等發現 於在本中凊案及下文所示實例中所揭示化合物中的雜芳 基。Wherein R is an anthracene or heterocyclyl substituent, as described herein. "Heteroaryl" and "unsubstituted heteroaryl" refer to an aromatic group having 1 to 4 hetero atoms as a ring atom in the ring, the yarn atomic carbon atoms. The term "heteroaryl" includes a material in which the nitrogen system is a tetrazole and a ++ ring structure (d) (4) and a fully saturated ring, such as 'the present oxazolyl group (which has a heterocyclic group slightly bonded to the phenyl group). The knot is 'restricted to the point that the point of attachment is via a heteroaryl ring. The heteroaryl group can be substituted and can be attached at various positions, as will be understood by those skilled in the art of organic chemistry and medicinal chemistry. Representative, substituted and unsubstituted heteroaryl groups include, for example, the heteroaryl groups found in the compounds disclosed in the examples and the examples shown below.
CI 144363.doc 21 201032806CI 144363.doc 21 201032806
NHNH
N 一 N‘N a N ‘
一較佳雜環及雜芳基具有3至14個環原子且包括(例如). 2氮呼基、料基、料咬基、㈣基、㈣咬基、味唾 基味坐唆基"比咬基、六氯吼咬基"比嗓基、派嗅、氣 雜環丁基、嘧啶基、嗒嗪基、噁唑基、噁唑啶基、異噁唑 基異噁唑啶基、嗎啉基、噻唑基、噻唑啶基、異噻唑 基、異噻唑啶基、吲哚基、喹啉基、異喹啉基、苯并咪唑 基、苯并噻唑基、苯并噁唑基、呋喃基、噻吩基、三唑 基、喹喔啉基、呔嗪基、萘并^比啶基、吲唑基及苯并噻吩 基0 雜芳基烧基」或「雜芳烷基」係指經如上所定義雜芳 基取代之烧基。通常,雜芳基烷基具有1至6個併入該雜芳 基烧基之烧基部分中的碳原子。 「亞胺基」係指基團=NH。 「硝基」係指基團N02。 144363.doc •22- 201032806 「項酿基」在本文中係指基L。「減確酿基」 係指其中R52係Cl-C7貌基之結構_s〇2r52'經取代續酿基。 本發明化合物中所用燒基續酿基通常為在其主鍵結構中且 有1至6個碳原子之院基續酿基。因此,本發明化合物中所 - 肖典型烧基續醯基包括(例>).曱基確酿基(即,其中R52為 ,曱基)、乙基磺醯基(即,其中R52為乙基)、丙基磺酿基 (即’其中R52為丙基)及諸如此類。術語「芳基確醯基」在 本文中係指基團-so2-芳基。術語「雜環基績酿基」在本 • x中係指基團·SG2·雜環基。術語「芳烧基磺醯基」在本 文中係指基團-S02-芳烷基。術語「磺醯胺基」在本文中 係指_S〇2NH2。術語「磺醯胺基烷基」係指(烷基) S02NH2-。 「硫代基或硫醇」係指基團_SH。「烷基硫代基或烷基 硫醇」係指經烷基(例如,烷基)取代之硫醇基團。 「硫代醯胺基」係指基團-C(=s)NH2。 「視情況經取代」係指氫視情況可經單價或二價基團代 ® 替。「經取代」係指氫可經單價或二價基團代替。除非另 有說明’否則適宜取代基團包括(例如)羥基' 烷氧基、硝 .基、胺基、亞胺基、氰基、齒代基、硫代基、磺醯基、硫 代醯胺基、脒基、側氧基、胺肟基、甲胺肟基、胍基、磺 醯胺基、羧基、甲醯基、烷基、齒代烷基、烷基胺基、鹵 代烧基胺基、烧氧基、鹵代烧氧基、烧氧基-烧基、烧基 羰基、胺基羰基、芳基羰基、芳烷基羰基、雜芳基羰基、 雜芳烷基-羰基、烷基硫、胺基烷基、氰基烷基、芳基及 144363.doc -23- 201032806 諸如此類。其他適宜取代基團包括彼等對經取代烷基所指 明取代基。參照整個本申請案所揭示化合物,亦可發現各 適宜取代基團之實例。 該取代基團自身可經取代。取代基團上之取代基可為羧 基、_代基、硝基、胺基、氰基、羥基、烷基、烷氧基、 胺基羰基、-SR42、硫代醯胺基、-S03H、S02R42或環烷 基’其中R42通常為氫、羥基或烷基。 若經取代取代基包括直鏈基團,則該取代可在該鏈中發 生(例如,2-羥基丙基、2-胺基丁基及諸如此類)或在該鏈 末端發生(例如,2-羥基乙基、3-氰基丙基及諸如此類)。 經取代取代基可為共價鍵結碳原子或雜原子之直鏈、具支 鏈或環狀排列。 除非另有說明,否則本文未明確界定之取代基的命名可 藉由依次命名官能團之端基部分以及朝向連接點之毗鄰官 忐團來獲得。例如,取代基「烷氧基雜芳基」係指基團 (烷氧基)-(雜芳基。 在本發明中所用較佳式⑴化合物具有小於1000道爾頓, 較佳小於750道爾頓之總分子量。式⑴化合物通常具有至 少150道爾頓之最小分子量。較佳式(I)化合物具有介於15〇 道爾頓與750道爾頓間之分子量’且在更佳實施例中,具 有介於200道爾頓與5〇〇道爾頓間之分子量。本發明之其他 實施例包括具有介於3〇〇道爾頓與450道爾頓間之分子量之 式⑴化合物的用途。在本發明之另一態樣中,在本發明中 所用式(I)化合物具有介於35G道爾頓與彻道爾頓間之分子 144363.doc 201032806 量。 類似地,應理解上述定義不欲包括不可能出現的取代模 式(例如,經5個氟基團取代之甲基)。此等不可能出現的取 代模式為熟習此項技術者所熟知。 • 「羧基-保護基團」係指經一個常用保護羧酸之酯基團 .酯化之羰基,該等酯基團可用於在化合物之其他官能位點 參與反應時封閉或保護該羧酸官能團。此外,羧基保護基 團可連接至固相載體,從而使化合物在羧酸酯藉由水解方 φ 法解離以釋放相應游離酸之前保持與固相載體連接。代表 性羧基-保護基團包括(例如)烷基酯、二級醯胺及諸如此 類。 某些式(I)之化合物包含不對稱取代之碳原子。該等不對 稱取代之碳原子可使得本發明化合物包含在具體不對稱取 代碳原子處之立體異構體之混合物或單一立體異構體。因 此,本發明包括本發明化合物之外消旋混合物、對映異構 體混合物以及對映異構體。本文所用術語「S」及「R」構 ® 型係如IUPAC 1974「RECOMMENDATIONS FOR SECTIONE, FUNDAMENTAL STEREOCHEMISTRY,」Pwre 4/7户/· CTzem. - 45:13-30,1976中所定義。術語α及β用於環狀化合物之環 . 定位。參照平面之a側為其上較佳取代基位於較小編號位 置之侧。彼等位於參照平面對侧之取代基被賦予β描述 符。應理解此用法不同於其中「a」意指「低於該平面」 之環狀立體母體之用法且其指示絕對構型。本文所用術語 a及β構型係如「Chemical Abstracts Index Guide,」(附錄 144363.doc -25- 201032806 IV,第203段,1987)所定義。 本文所用術語「醫藥上可接受之鹽」係指本發明2-胺 基-7,8-二氫-6H-吡啶并[4,3-d]嘧啶-5酮化合物之無毒酸或 鹼土金屬鹽。此等鹽可在2-胺基-7,8-二氫-6H-吡啶并[4,3-d]嘧啶-5酮化合物最終分離及純化期間就地製備或藉由使 驗或酸官能團分別與適宜有機或無機酸或鹼獨立地反應來 製備。代表性鹽包括但不限於下述:乙酸鹽、己二酸鹽、 藻酸鹽、擰檬酸鹽、天冬胺酸鹽、苯甲酸鹽、苯磺酸鹽、 硫酸氫鹽、丁酸鹽、樟腦酸鹽、樟腦磺酸鹽、二葡萄糖酸 鹽、環戊烷丙酸鹽、十二烷基硫酸鹽、乙烷磺酸鹽、葡庚 糖酸鹽、甘油磷酸鹽、半硫酸鹽、庚酸鹽、己酸鹽、富馬 酸鹽、氫氣酸鹽、氫溴酸鹽、氫蛾酸鹽、2-羥基乙烧續酸 鹽、乳酸鹽、馬來酸鹽、甲烷磺酸鹽、煙鹼酸鹽、2_萘磺 酸鹽、草酸鹽、巴莫酸鹽、果膠酸鹽、過硫酸鹽、3_苯基 丙酸鹽、苦味酸鹽、新戊酸鹽、丙酸鹽、琥珀酸鹽、硫酸 鹽、酒石酸鹽、硫氰酸鹽、對甲苯磺酸鹽及十一烷酸鹽。 而且’驗性含氮基團亦可用諸如下列等試劑四級銨化:燒 基鹵,例如,甲基、乙基、丙基及丁基之氣化物、溴化物 及碘化物;硫酸二烷基酯’如硫酸二甲酯、硫酸二乙酯、 硫酸二丁酯及硫酸二戊酯;長鏈_化物,例如,癸基、月 桂基、肉丑缝基及硬脂基之氣化物、溴化物及碘化物;芳 炫•基齒化物’例如,节基漠及苯乙基溴;及其他。藉此得 到水或油溶性或可分散性產品。 可用於形成醫藥上可接受之酸加成鹽之酸的實例包括無 144363.doc 201032806 機酸(例如’氫氣酸、硫酸及磷酸)及有機酸(例如,草酸、 馬來酸、甲料酸、破拍酸及檸檬酸)。驗加成鹽可在2_胺 基7,8-—氫-6H_吡啶并[4 3 d]嘧啶_5酮化合物最終分離及 期間就地製備’或藉由使羧酸部分與適宜鹼(例如, 4藥上可接丈之金屬冑離子的氫氧化#、碳酸鹽或碳酸氫 -幻或與氨、或-級、二級或三級有機胺反應來製備。醫 樂上可接受之鹽包括但不限於基於鹼金屬及鹼土金屬之陽 離子鹽,例如,鈉鹽、鐘鹽、鉀鹽、舞鹽、鎮鹽、紹鹽及 攀如此類;以及無毒録、四級胺及胺陽離子,包括但不限 於銨、四曱基銨、四乙基銨、曱基胺、二甲基胺、三曱基 胺一乙基胺、乙基胺及諸如此類。可用於形成鹼加成鹽 之其他代表性有機胺包括二乙基胺、乙二胺、乙醇胺、二 乙醇胺、味嗓及諸如此類。 本文所用術語「醫藥上可接受之前藥」係指本發明化合 物之彼等前藥,該等前藥在可靠的醫學判斷範圍内適用於 • 接觸人類及低等動物之組織並且不會產生過度的毒性、刺 激、過敏反應及諸如此類,並與合理的利益/風險比相稱 且對其預期用途而言有效,可能時亦指本發明化合物之兩 性離子形式。術語「前藥」係指可(例如)藉由在血液中水 解在體内迅速轉化產生上式母體化合物之化合物,例如, 醋。全面的討論提供於Higuchi,T·及V. Stella之「Prodrugs as Novel Delivery Systems」 (A.C.S. Symposium Series 14)及 Edward B. Roche 編輯之「Bioreversible Carriers in Drug Design」(American Pharmaceutical 144363.doc •27· 201032806A preferred heterocyclic and heteroaryl group has 3 to 14 ring atoms and includes, for example, a 2 nitrogen group, a base group, a base group, a (tetra) group, a (four) bite group, and a taste base. Than base, hexachloropurine bite " thiol, flavonoid, oxetyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, isoxazolyloxazolidine, Morpholinyl, thiazolyl, thiazolidinyl, isothiazolyl, isothiazolidinyl, indolyl, quinolyl, isoquinolinyl, benzimidazolyl, benzothiazolyl, benzoxazolyl, furan , thiophenyl, triazolyl, quinoxalinyl, pyridazinyl, naphthylpyridyl, oxazolyl and benzothienyl 0 heteroarylalkyl or "heteroaralkyl" means A heteroaryl-substituted alkyl group as defined above. Typically, the heteroarylalkyl group has from 1 to 6 carbon atoms incorporated into the alkyl moiety of the heteroarylalkyl group. "Imino" means a group = NH. "Nitro" means the group N02. 144363.doc •22- 201032806 “Items” refers to the base L in this article. "Reduced brewing base" refers to the structure in which the R52-based Cl-C7 appearance group is replaced by the _s〇2r52'. The alkyl group to be used in the compound of the present invention is usually a hospital base having 1 to 6 carbon atoms in its primary bond structure. Therefore, the typical thiol group in the compound of the present invention includes (Example >). The thiol group (i.e., wherein R52 is a fluorenyl group), an ethyl sulfonyl group (i.e., wherein R52 is B a propyl sulfonyl group (ie, wherein R52 is a propyl group) and the like. The term "aryl thiol" as used herein refers to the group -so2-aryl. The term "heterocyclic base" refers to the group SG2.heterocyclic group in the present x. The term "arylalkylsulfonyl" as used herein refers to the group -S02-aralkyl. The term "sulfonamide" refers herein to _S〇2NH2. The term "sulfonamidoalkyl" means (alkyl)S02NH2-. "Thio or thiol" refers to the group _SH. "Alkylthio or alkylthiol" refers to a thiol group substituted with an alkyl group (e.g., an alkyl group). "Thiodecylamino" refers to the group -C(=s)NH2. "Substituting as appropriate" means that hydrogen may be replaced by a monovalent or divalent group. "Substituted" means that hydrogen can be replaced by a monovalent or divalent group. Unless otherwise stated, 'suitably suitable substituents include, for example, hydroxy' alkoxy, nitro, amide, imino, cyano, dentate, thio, sulfonyl, thioguanamine Base, fluorenyl, pendant oxy, amidino, methylamine, sulfhydryl, sulfonylamino, carboxy, methionyl, alkyl, dentylalkyl, alkylamino, haloalkylamine Base, alkoxy group, halogenated alkoxy group, alkoxy-alkyl group, alkylcarbonyl group, aminocarbonyl group, arylcarbonyl group, aralkylcarbonyl group, heteroarylcarbonyl group, heteroarylalkyl-carbonyl group, alkyl group Sulfur, aminoalkyl, cyanoalkyl, aryl and 144363.doc -23- 201032806 and the like. Other suitable substituent groups include those which are indicated for the substituted alkyl group. Examples of suitable substituent groups are also found with reference to the compounds disclosed throughout this application. The substituent group itself can be substituted. The substituent on the substituent group may be a carboxyl group, a carboxy group, a nitro group, an amine group, a cyano group, a hydroxyl group, an alkyl group, an alkoxy group, an aminocarbonyl group, -SR42, a thioguanamine group, -S03H, S02R42. Or a cycloalkyl group wherein R42 is typically hydrogen, hydroxy or alkyl. If the substituted substituent includes a linear group, the substitution may occur in the chain (eg, 2-hydroxypropyl, 2-aminobutyl, and the like) or at the end of the chain (eg, 2-hydroxyl) Ethyl, 3-cyanopropyl and the like). The substituted substituent may be a linear, branched or cyclic arrangement of covalently bonded carbon atoms or heteroatoms. Unless otherwise indicated, the nomenclature of substituents not specifically defined herein may be obtained by sequentially naming the terminal moiety of the functional group and the adjacent anthracene group towards the point of attachment. For example, the substituent "alkoxyheteroaryl" refers to a group (alkoxy)-(heteroaryl). The preferred compound of formula (1) used in the present invention has less than 1000 Daltons, preferably less than 750 Daltons. The total molecular weight of the compound. The compound of formula (1) typically has a minimum molecular weight of at least 150 Daltons. Preferably, the compound of formula (I) has a molecular weight between 15 〇 Daltons and 750 Daltons' and in a more preferred embodiment There is a molecular weight between 200 Daltons and 5 Daltons. Other embodiments of the invention include the use of a compound of formula (1) having a molecular weight between 3 Daltons and 450 Daltons. In another aspect of the invention, the compound of formula (I) used in the present invention has a molecular weight of 144363.doc 201032806 between 35G Daltons and Pedalton. Similarly, it should be understood that the above definition does not This includes substitution patterns that are not possible (for example, methyl groups substituted with 5 fluoro groups). Such substitution patterns that are not possible are well known to those skilled in the art. • "Carboxy-protecting group" refers to An ester group commonly used to protect carboxylic acids. Esterified carbonyl groups The ester group can be used to block or protect the carboxylic acid functional group when the other functional sites of the compound participate in the reaction. Further, the carboxy protecting group can be attached to the solid phase carrier, thereby allowing the compound to be hydrolyzed in the carboxylic acid ester. The φ method dissociates to remain attached to the solid support prior to releasing the corresponding free acid. Representative carboxy-protecting groups include, for example, alkyl esters, secondary guanamines, and the like. Certain compounds of formula (I) contain asymmetric substitutions. Carbon atoms. The asymmetrically substituted carbon atoms may allow a compound of the invention to comprise a mixture or a single stereoisomer of a stereoisomer at a particular asymmetrically substituted carbon atom. Thus, the invention includes, in addition to a compound of the invention Racemic mixture, enantiomeric mixture, and enantiomer. The terms "S" and "R" are used herein as IUPAC 1974 "RECOMMENDATIONS FOR SECTIONE, FUNDAMENTAL STEREOCHEMISTRY," Pwre 4/7 households. CTzem. - 45:13-30, defined in 1976. The terms α and β are used for the ring of a cyclic compound. Positioning. The side of the reference plane is located above its preferred substituent. The side of the small numbered position. The substituents on the opposite side of the reference plane are assigned a beta descriptor. It should be understood that this usage is different from the usage of the circular solid parent in which "a" means "below the plane" and its indication Absolute configuration. The terms a and β are used herein as defined in the "Chemical Abstracts Index Guide," (Appendix 144363.doc -25- 201032806 IV, paragraph 203, 1987). The term "medically acceptable" is used herein. "Salt" means a non-toxic acid or alkaline earth metal salt of the 2-amino-7,8-dihydro-6H-pyrido[4,3-d]pyrimidin-5one compound of the present invention. These salts can be prepared in situ during the final isolation and purification of the 2-amino-7,8-dihydro-6H-pyrido[4,3-d]pyrimidin-5one compound or by means of an acid or functional group It is prepared by reacting independently with a suitable organic or inorganic acid or base. Representative salts include, but are not limited to, the following: acetate, adipate, alginate, citrate, aspartate, benzoate, besylate, hydrogen sulfate, butyrate , camphorate, camphor sulfonate, digluconate, cyclopentane propionate, lauryl sulfate, ethane sulfonate, glucoheptonate, glycerol phosphate, hemisulfate, g Acid, hexanoate, fumarate, hydrogenate, hydrobromide, hydromomate, 2-hydroxyethyl citrate, lactate, maleate, methane sulfonate, nicotine Acid salt, 2-naphthalene sulfonate, oxalate, bamotate, pectate, persulfate, 3-phenylpropionate, picrate, pivalate, propionate, amber Acid salts, sulfates, tartrates, thiocyanates, p-toluenesulfonates and undecanoates. Moreover, the 'initial nitrogen-containing group can also be quaternized with a reagent such as the following: an alkyl halide, for example, a vapor, a bromide and an iodide of a methyl group, an ethyl group, a propyl group and a butyl group; a dialkyl sulfate group; Esters such as dimethyl sulfate, diethyl sulfate, dibutyl sulfate and diamyl sulfate; long chain derivatives, for example, sulfhydryl, lauryl, meat ugly and stearyl vapors, bromides And iodide; aromatic Hyun-based dentate', for example, agglomerate and phenethyl bromide; and others. This results in a water or oil soluble or dispersible product. Examples of acids which can be used to form pharmaceutically acceptable acid addition salts include 144363.doc 201032806 organic acids (eg 'hydrogen acid, sulfuric acid and phosphoric acid) and organic acids (eg oxalic acid, maleic acid, formic acid, Break the acid and citric acid). The addition salt can be prepared in situ during the final separation of the 2-amino 7,8-hydro-6H-pyrido[4 3 d]pyrimidin-5 ketone compound or by making the carboxylic acid moiety with a suitable base ( For example, 4 drugs can be prepared by reacting the metal hydroxide ions of the metal cesium ions, carbonate or hydrogen carbonate-magic or with ammonia, or -grade, secondary or tertiary organic amines. Including, but not limited to, cationic salts based on alkali metals and alkaline earth metals, for example, sodium salts, clock salts, potassium salts, dance salts, salt salts, salt salts, and climbing; and non-toxic, quaternary amines and amine cations, including However, it is not limited to ammonium, tetradecylammonium, tetraethylammonium, mercaptoamine, dimethylamine, tridecylamine monoethylamine, ethylamine, and the like, and can be used for other representative formation of alkali addition salts. The organic amines include diethylamine, ethylenediamine, ethanolamine, diethanolamine, miso, and the like. The term "pharmaceutically acceptable prodrug" as used herein refers to the prodrugs of the compounds of the present invention which are reliable. Medical judgment within the scope of • contact with humans and lower animals and will not produce Excessive toxicity, irritation, allergic reaction, and the like, and commensurate with a reasonable benefit/risk ratio and effective for its intended use, and may also refer to the zwitterionic form of the compound of the present invention. The term "prodrug" means For example, a compound that produces a parent compound of the above formula, for example, vinegar, by rapid hydrolysis in the blood. A comprehensive discussion is provided by Higuchi, T. and V. Stella, "Prodrugs as Novel Delivery Systems" (ACS Symposium Series). 14) and "Bioreversible Carriers in Drug Design" edited by Edward B. Roche (American Pharmaceutical 144363.doc •27· 201032806
Association,Pergamon Press,1987)中,二者均以引用方 式併入本文中。 在各實施例中,本發明之醫藥組合物包含存於醫藥上可 接受之載劑中的第一醫藥組份及第二醫藥組份。該第一組 份係式⑴之化合物In Association, Pergamon Press, 1987), both are incorporated herein by reference. In various embodiments, the pharmaceutical compositions of the present invention comprise a first pharmaceutical component and a second pharmaceutical component in a pharmaceutically acceptable carrier. The first component of the compound of formula (1)
Ra ΟRa Ο
或其立體異構體、互變異構體、醫藥上可接受之鹽、或 前藥,其中Or a stereoisomer, tautomer, pharmaceutically acceptable salt thereof, or prodrug thereof, wherein
Ra係選自由下列組成之群: ⑴氫, (2) 鹵素, (3) 羥基, (4) CVC6烷氧基, (5) 硫醇, (6) CVC6烷基硫醇, (7) 經取代或未經取代C^-Ce烷基, (8) 胺基或經取代胺基, (9) 經取代或未經取代芳基, (10) 經取代或未經取代雜芳基,及 144363.doc -28- 201032806 (π)經取代或未經取代雜環基; R係選自由下列組成之群: (1) 氫, (2) 經取代或未經取代Ci_C6烷基, . (3)經取代或未經取代C2-C6烯基, , (4)經取代或未經取代C2-C6炔基, (5) 經取代或未經取代c3_c^^烷基, (6) 經取代或未經取代(^ —。環烯基, ® (7)經取代或未經取代芳基, (8) 經取代或未經取代雜芳基,及 (9) 經取代或未經取代雜環基;Ra is selected from the group consisting of: (1) hydrogen, (2) halogen, (3) hydroxyl, (4) CVC6 alkoxy, (5) mercaptan, (6) CVC6 alkyl mercaptan, (7) substituted Or unsubstituted C^-Ce alkyl, (8) amino or substituted amine, (9) substituted or unsubstituted aryl, (10) substituted or unsubstituted heteroaryl, and 144363. Doc -28- 201032806 (π) substituted or unsubstituted heterocyclic group; R is selected from the group consisting of: (1) hydrogen, (2) substituted or unsubstituted Ci_C6 alkyl, (3) Substituted or unsubstituted C2-C6 alkenyl, (4) substituted or unsubstituted C2-C6 alkynyl, (5) substituted or unsubstituted c3_c^^ alkyl, (6) substituted or not Substituting (^-.cycloalkenyl, ® (7) substituted or unsubstituted aryl, (8) substituted or unsubstituted heteroaryl, and (9) substituted or unsubstituted heterocyclic;
Rb係選自由下列組成之群: (1) 經取代或未經取代C3_C7環烷基, (2) 經取代或未經取代C5_c7環烯基, (3) 經取代或未經取代芳基, _ (4)經取代或未經取代雜芳基,及 (5)經取代或未經取代雜環基;且 限制條件為若Ra為胺基,則Rb不為苯基、4_烷基-苯 ' 基、4-烷氧基-苯基、或4-商代笨基。 • 該第二組份係mTOR抑制劑。 較佳地,該第一組份係HsP 90抑制劑。 在特殊實施例中’該第一組份係式㈣之化合物 144363.doc •29· 201032806Rb is selected from the group consisting of: (1) substituted or unsubstituted C3_C7 cycloalkyl, (2) substituted or unsubstituted C5_c7 cycloalkenyl, (3) substituted or unsubstituted aryl, _ (4) a substituted or unsubstituted heteroaryl group, and (5) a substituted or unsubstituted heterocyclic group; and the limitation is that if Ra is an amine group, Rb is not a phenyl group, a 4-alkyl-benzene group 'Base, 4-alkoxy-phenyl, or 4-complex stupid. • This second component is an mTOR inhibitor. Preferably, the first component is an HsP 90 inhibitor. In a particular embodiment, the first component of the compound of formula (IV) 144363.doc •29· 201032806
Ra ηRa η
(la) 或其互變異構體、醫藥上可接受之鹽、或前藥,其中 基’則Rb不為苯基、4·烷基_笨基、4_烷氧基_笨基、或4_ 鹵代苯基。 在式(I)或(la)化合物之某些實施例中,Ra係氫。 在其他實施例中,Ra係經取代或未經取代Cl-C6烷基。 在某些實施例中,m Cl_C6烧基或ώ代Ci_C6烧基。在 某些此等實施例中,Ra為曱基。 在某些實施例中’ W係芳基或雜芳基。在某些此等實施 例中,Rb係選自由苯基…㈣基、射基、m 朵 基、噻唑基及噻吩基組成之群,該等取代基各自可經取代 或未經取代。在某些態樣中,本發明提供其中上述妒基團 1絰取代或未經取代芳基或者經取代或未經取代雜芳基取 代之化合物。在其他態樣中,該等Rb基團可經函代基取 代。在另一些態樣中,該等…基團可經氟取代。在又一些 態樣中,該等Rb基團可經烷基、鹵代烷基、烷氧基及鹵代 烷氧基取代。在某些態樣中,該等Rb基團可經甲基取代。 在其他態樣中’該等Rb基團可經甲氧基取代。 在其他實施例中,Rb係選自由經取代芳基、經取代雜環 144363.doc 201032806 基、經取代雜芳基、經取代Cs-C7環烷基及經取_ 5 _ L 7 環 烯基組成之群’其中該芳基、雜環基、雜芳基、 13义7環 烧基及Cs-C7環烯基係選自由下列組成之群:n比咯基、笨 基、°比°定基、吼嗓基、响唆基、塔嗪基、D比唾基、味。坐 •基、三唑基、吲哚基、噁二唑基、噻二唑基'呋喃基、喹 .琳基、異啥琳基、異„惡嗤基、β惡吐基、嚷β坐基、嗎琳基、 六氫吡啶基、吡咯啶基、噻吩基、環己基、環戊基、環己 稀基及環戊烯基。在某些態樣中,上述基團可經i至2個選 ❹ 自由鹵代基、烷氧基、烷基、胺基、烷基胺基、鹵代烷基 及鹵代烷氧基組成之群之取代基取代。 在某些實施例中,R係選自由氫、未經取代烷基及經取 代烷基組成之群。在某些此等實施例中,R係選自由甲 基、乙基、烯丙基、3·甲基-丁基及異丁基組成之群。在其 他實施例中’ R係選自由氫、苄基、1 _(4_甲氧基苯基)乙 基、甲基、3-胺基丙基及2_甲基-2-嗎啉基丙基組成之群。 在又一實施例中,R為氫。 在另一實施例中,該2-胺基_7,8·二氫-6H-吡啶并[4,3-d] 嘧啶-5酮化合物具有式(II):(la) or a tautomer thereof, a pharmaceutically acceptable salt, or a prodrug wherein the base 'n' is not phenyl, 4' alkyl-styl, 4-alkoxy-stirty, or 4_ Halophenyl. In certain embodiments of the compounds of formula (I) or (la), Ra is hydrogen. In other embodiments, Ra is substituted or unsubstituted Cl-C6 alkyl. In certain embodiments, mCl_C6 is alkyl or deuterated Ci_C6 alkyl. In some of these embodiments, Ra is a fluorenyl group. In certain embodiments the 'W is an aryl or heteroaryl group. In certain such embodiments, Rb is selected from the group consisting of phenyl...(tetra), thio, m, thiazolyl, and thienyl, each of which may be substituted or unsubstituted. In some aspects, the invention provides compounds wherein the above oxime group is substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl. In other aspects, the Rb groups can be substituted via a functional group. In other aspects, the groups can be substituted with fluorine. In still other aspects, the Rb groups can be substituted with an alkyl group, a haloalkyl group, an alkoxy group, and a haloalkoxy group. In some aspects, the Rb groups can be substituted with a methyl group. In other aspects, the Rb groups may be substituted with a methoxy group. In other embodiments, Rb is selected from the group consisting of substituted aryl, substituted heterocyclic 144363.doc 201032806, substituted heteroaryl, substituted Cs-C7 cycloalkyl, and _ 5 _ L 7 cycloalkenyl The group of the composition 'wherein the aryl group, the heterocyclic group, the heteroaryl group, the 13-membered 7-ring group and the Cs-C7 cycloalkenyl group are selected from the group consisting of n-rho groups, stupid groups, ° ratios , thiol, sulfonyl, oxazinyl, D is more than salivary, taste. Sodium, triazolyl, sulfhydryl, oxadiazolyl, thiadiazolyl'furanyl, quinalinyl, isoindolyl, oxonyl, beta oxo, 嚷β , morphinyl, hexahydropyridyl, pyrrolidinyl, thienyl, cyclohexyl, cyclopentyl, cyclohexyl and cyclopentenyl. In some aspects, the above groups may be through i to 2 Substituent substitution of a group consisting of a free halo group, an alkoxy group, an alkyl group, an amine group, an alkylamino group, a haloalkyl group, and a haloalkoxy group. In certain embodiments, the R system is selected from the group consisting of hydrogen and a group consisting of a substituted alkyl group and a substituted alkyl group. In some of these embodiments, R is selected from the group consisting of methyl, ethyl, allyl, 3-methyl-butyl, and isobutyl. In other embodiments 'R is selected from the group consisting of hydrogen, benzyl, 1-(4-methoxyphenyl)ethyl, methyl, 3-aminopropyl, and 2-methyl-2-morpholinyl A group of propyl groups. In yet another embodiment, R is hydrogen. In another embodiment, the 2-amino-7,8-dihydro-6H-pyrido[4,3-d]pyrimidine- The 5-ketone compound has the formula (II):
Ra 〇Ra 〇
•31· 144363.doc 201032806 醫藥上可接受之鹽、或 或其立體異構體、互變異構體 前藥,其中 η為0或1, 其中Ra係選自由下列組成之群: (1) 氫, (2) 鹵素, (3) 羥基, (4) CVC6烷氧基, (5) 硫醇, (6) Ci-C^烧基硫醇, (7) 經取代或未經取代CiC6烷基, (8) 胺基或經取代胺基, (9) 經取代或未經取代芳基, (10) 經取代或未經取代雜芳基,及 (11) 經取代或未經取代雜環基; 其中R係選自由以下組成之群: ⑴氫, (2) 經取代或未經取代Cl_C6烷基, (3) 經取代或未經取代c2_C6烯基, (4) 經取代或未經取代c2_C6炔基, (5) 經取代或未經取代— 烷基, (6) 經取代或未經取代— 烯基, (7) 經取代或未經取代芳基, (8) 經取代或未經取代雜芳基,及 144363.doc -32- 201032806 (9)經取代或未經取代雜環基, 其中田11為1時,X為C,每一位置處之γ獨立地選自 CQ及Ν,且Ζ選自CR2及Ν,限制條件為不超過3個γ&ζ基 團為Ν,且 其中田11為〇時,X為C或Ν,每一位置處之γ獨立地選 自CQ N NQ、〇及s ’限制條件為不超過4個乂及γ基團 為Ν及NQ2且不超過1個γ基團為s或〇 ; 其中,每一位置處之qi獨立地選自由下列組成之群: • ⑴氫, (2) 鹵素, (3) 經取代或未經取代Ci_c6烷基, (4) 經取代或未經取代c2_C6烯基, (5) 經取代或未經取代C2_C6炔基, (6) 經取代或未經取代(:3_(:7環烷基, (7) 經取代或未經取代c5_C7環烯基, (8) 經取代或未經取代芳基, ® (9)經取代或未經取代雜芳基, (10)經取代或未經取代雜環基, (1丨)經取代或未經取代胺基, (12) -OR3 或-SR3, (13) -C(0)R3、_c〇2R3、-C(0)N(R3)2、-S(0)R3、-S〇2R3、 或-so2n(r3)2, (14) -〇C(0)R3、_n(R3)C(〇)R3、或-N(R3)S02R3, (15) -CN,及 144363.doc •33· 201032806 (16) -N〇2 ; 其中,每一位置處之Q2獨立地選自由下列組成之群: ⑴氫, (3) 經取代或未經取代c】-c6烷基, (4) 經取代或未經取代c2_c6烯基, (5) 經取代或未經取代c2_c6炔基, (6) 經取代或未經取代c3_c7環烷基, (7) 經取代或未經取代c5_c7環烯基, (8) 經取代或未經取代芳基, (9) 經取代或未經取代雜芳基,及 (10) 經取代或未經取代雜環基; 其中R2係選自由下列組成之群: ⑴氫, (2) 鹵素, (3) 經取代或未經取代Cl_C3烷基,及 (4) _〇R3、-SR3 或-NHR3 ; 其中,每一位置處之R3獨立地選自由下列組成之 ⑴氫, : (2) 經取代或未經取代Cl_C6烷基, (3) 經取代或未經取代c2_C6烯基, (4) 經取代或未經取代c2_C6炔基, (5) 經取代或未經取代烷基, (6) 經取代或未經取代c5_C7環烯基, (7) 經取代或未經取代芳基, 144363.doc •34- 201032806 (8) 經取代或未經取代雜芳基,及 (9) 經取代或未經取代雜環基, 限制條件為若Ra為胺基,則χ、γ、2及n一起不可形成 苯基、4-烷基-苯基、4-烷氧基_苯基或4__代苯基。 在其他實施例中,本發明之第一醫藥組份依據式(Ha):• 31· 144363.doc 201032806 A pharmaceutically acceptable salt, or a stereoisomer or tautomer thereof, wherein η is 0 or 1, wherein the Ra is selected from the group consisting of: (1) hydrogen , (2) halogen, (3) hydroxyl, (4) CVC6 alkoxy, (5) mercaptan, (6) Ci-C^alkyl mercaptan, (7) substituted or unsubstituted CiC6 alkyl, (8) an amine group or a substituted amine group, (9) a substituted or unsubstituted aryl group, (10) a substituted or unsubstituted heteroaryl group, and (11) a substituted or unsubstituted heterocyclic group; Wherein R is selected from the group consisting of: (1) hydrogen, (2) substituted or unsubstituted C1-C6 alkyl, (3) substituted or unsubstituted c2_C6 alkenyl, (4) substituted or unsubstituted c2_C6 alkyne Substituted, (5) substituted or unsubstituted - alkyl, (6) substituted or unsubstituted - alkenyl, (7) substituted or unsubstituted aryl, (8) substituted or unsubstituted Aryl, and 144363.doc -32- 201032806 (9) substituted or unsubstituted heterocyclic group, wherein when field 11 is 1, X is C, and γ at each position is independently selected from CQ and hydrazine, and ΖSelected from CR2 and Ν, the restriction is not exceeded After 3 γ& ζ groups are Ν, and where field 11 is 〇, X is C or Ν, γ at each position is independently selected from CQ N NQ, 〇 and s 'limitation is no more than 4 The 乂 and γ groups are Ν and NQ2 and no more than 1 γ group is s or 〇; wherein qi at each position is independently selected from the group consisting of: • (1) hydrogen, (2) halogen, (3) Substituted or unsubstituted Ci_c6 alkyl, (4) substituted or unsubstituted c2_C6 alkenyl, (5) substituted or unsubstituted C2_C6 alkynyl, (6) substituted or unsubstituted (:3_( :7 cycloalkyl, (7) substituted or unsubstituted c5_C7 cycloalkenyl, (8) substituted or unsubstituted aryl, ® (9) substituted or unsubstituted heteroaryl, (10) Substituted or unsubstituted heterocyclic group, (1丨) substituted or unsubstituted amino group, (12) -OR3 or -SR3, (13) -C(0)R3, _c〇2R3, -C(0) N(R3)2, -S(0)R3, -S〇2R3, or -so2n(r3)2, (14) -〇C(0)R3, _n(R3)C(〇)R3, or -N (R3) S02R3, (15) -CN, and 144363.doc •33· 201032806 (16) -N〇2 ; wherein each position Q2 is independently selected from the group consisting of: (1) hydrogen, ( 3) substituted or unsubstituted c]-c6 alkyl, (4) substituted or unsubstituted c2_c6 alkenyl, (5) substituted or unsubstituted c2_c6 alkynyl, (6) substituted or unsubstituted C3_c7 cycloalkyl, (7) substituted or unsubstituted c5_c7 cycloalkenyl, (8) substituted or unsubstituted aryl, (9) substituted or unsubstituted heteroaryl, and (10) substituted Or an unsubstituted heterocyclic group; wherein R2 is selected from the group consisting of: (1) hydrogen, (2) halogen, (3) substituted or unsubstituted C1-C3 alkyl, and (4) _〇R3, -SR3 or -NHR3; wherein, each position R3 is independently selected from the group consisting of (1) hydrogen, (2) substituted or unsubstituted C1-C6 alkyl, (3) substituted or unsubstituted c2_C6 alkenyl, (4) Substituted or unsubstituted c2_C6 alkynyl, (5) substituted or unsubstituted alkyl, (6) substituted or unsubstituted c5_C7 cycloalkenyl, (7) substituted or unsubstituted aryl, 144363 .doc •34- 201032806 (8) Substituted or unsubstituted heteroaryl, and (9) substituted or unsubstituted heterocyclic group, with the proviso that if Ra is an amine group, then χ, γ, 2 and n Benzene cannot be formed together Base, 4-alkyl-phenyl, 4-alkoxy-phenyl or 4-phenylene. In other embodiments, the first pharmaceutical component of the invention is based on formula (Ha):
Ra 〇Ra 〇
或其互變異構體、醫藥上可接受之鹽、或前藥來闡述, 其中Ra、R、X、Υ、z及n係如先前對式(11)所定義且限制 條件為若Ra為胺基,則X、γ、2及η一起不可形成苯基、 4_烷基-苯基、4-烷氧基-苯基、或4_齒代基苯基。 ❹ 在某些實施例中,若η為〇,則X為c且與X臨近之Υ不為 Ο。 在式(II)或(Ila)化合物之某些實施例中,Ra為氫。 在其他實施例中,Ra為經取代或未經取代Cl_c6烷基。 在某些實施例中,1^為烷基或鹵代烷基。在 某些此等實施例中,Ra為甲基。 對於式(I)、(la)、(II)或(Ha)之化合物而言,代表性經取 代烧基包括芳基烷基、雜芳基烷基、環烷基烷基、雜環基 I44363.doc .35- 201032806 烷基、胺基烷基、烷基胺基烷基、二烷基胺基烷基、及磺 醯胺基烷基。 代表性芳基包括苯基。 代表性雜芳基包括吡啶基、吼嗪基、嘧啶基、嗒嗪基、 吡唑基、吲哚基、喹啉基、異喹啉基、呋喃基、噁唑基、 噻唑基及噻吩基。 在一個實施例中,一個Ql或Q2係選自由下列組成之群: 經取代及未經取代苯基、經取代及未經取代吡咬基、經取 代及未經取代密咬基、經取代及未經取代《比嗪基、經取代 及未經取代吲哚基、經取代及未經取代噻唑基、及經取代 及未經取代噻吩基。 在一個實施例中,一個Ql或Q2係選自由六氫吡啶基 '嗎 琳基、吼咯啶酮基及苄基胺基組成之群。 在一個實施例中,一個Ql或Q2係選自由環己基及環戊基 組成之群。 在一個實施例中,一個Ql或Q2係選自由環己烯基及環戊 烯基組成之群。 在一個實施例中,—個Ql或Q2係選自由經取代芳基、經 取代雜環基、經取代雜芳基、經取代C3_C7環烧基及經取 代C5-C·/環烯基組成之群,其中該芳基、雜環基、雜芳 基、Cs-C:7環烷基及C5_C7環烯基係選自由下列組成之群: 11比洛基、苯基、吡啶基、吡嗪基、嘧啶基、嗒嗪基、吡唑 基、咪唾基、三唑基、吲哚基、噁二唑基、噻二唑基、呋 喃基、喹琳基、異啥琳基、異噁《坐基、噁°坐基、噻唑基、 144363.doc 201032806 嗎啉基、六氫吡啶基、吡咯啶基、噻吩基、環己基、環戊 基、環己烯基及環戊烯基。 在某些態樣中,上述基團可經1至2個選自由i代基、烷 氧基、烷基、胺基、烷基胺基、南代烷基及齒代烷氧基組 ' 成之群之取代基取代。 .在一個實施例中,一個Q1或Q2係選自經取代及未經取代 °比啶基、經取代及未經取代吡嗪基、經取代及未經取代苯 基、經取代及未經取代異喹啉基、經取代及未經取代嘧啶 ® 基、經取代及未經取代吡唑基、及經取代及未經取代呋喃 基。在某些態樣中,上述基團可經1至2個選自由函代基、 烧氧基、烷基、胺基、烷基胺基、鹵代烷基及鹵代烷氧基 組成之群之取代基取代。 在其他實施例中,一個Q1或Q2係選自由下列組成之群: (2-羥基-乙基胺基)_吡嗪_2_基、1H-吡唑-4-基、1-曱基-1H- 吼。坐-4-基、1-甲基-1H-吡唑-4-基、2-(5-甲基-吡啶-2-基)- 苯基、2,3-二氟-苯基、2,3-二甲氧基-苯基、2,4-二氟-苯 φ 基、2,4-二曱氧基-苯基、2,4-二曱氧基-嘧啶-5-基、2,5-二 氟-笨基、2,6-二氟-苯基、2,6-二甲基-吡啶-3-基、2-乙醯 胺基苯基、2-胺基羰基苯基、2-胺基-嘧啶-5-基、2-氯-4-. 曱氧基-嘧啶-5-基、2-氣-5-氟·吡啶-3-基、2-氣-苯基、2- 氯啶·3-基、2_氣-"比啶-4-基、2-二氟-3-曱氧基苯基、2-乙基-苯基、2-乙氧基-噻唑-4-基、2-氟-3-甲氧基-苯基、2-氟-3-甲基苯基、2-氟-4_曱基-苯基、2-氟-5-甲氧基-苯基、 2-氟-5-曱基苯基、2-氟苯基、2-氟-η比啶_3_基、2-羥基甲 144363.doc -37- 201032806 基-3-甲氧基苯基、2-羥基甲基苯基、2-異喹啉-4-基、2-甲 氧基-5-三氟曱基-苯基、2-曱氧基-苯基、2-曱氡基-吼啶-3-基、2-甲氧基-嘧啶-4-基、2-曱氧基-噻唑-4-基、2-曱基-苯基、2-甲基-吡啶-3-基、2-側氧-1,2-二氫-吡啶-3-基、2-苯氧基苯基、2-。比啶-3-基、2-嘧啶-5-基、2-三氟甲氧基苯 基、2-三氟甲氧基-苯基、3,4-二曱氧基-苯基、3,5-二甲 基'異鳴吐-4-基、3,6-二曱基-°比C秦-2-基、3-乙酿胺基本 基、3 -胺基幾基苯基、3 ->臭-苯基、3·氯-17比17秦-2-基、3 -亂 基苯基、3·二曱基胺基苯基、3 -乙氧基-苯基、3·乙基-4 -甲 基-苯基、3 -乙快基-苯基、3 -氣-6-曱氧基-。比咬-2-基、3 -氣 苯基、3-氟/比嗪-2-基、3-甲烷磺醯胺基苯基、3-曱氧基羰 基苯基、3-甲氧基苯基、3-曱氧基-吼嗪-2-基、3-曱基-3Η-咪唑并[4,5-b]吡嗪-5-基、3-甲基苯基、3-甲基-吡啶-2-基、3-三氟甲氧基苯基、3·三氟甲基苯基、4,5-二曱氧基-嘴淀-2-基、4 -胺基-5-氟-。密0定-2-基、4 -氣-2,5 -二甲氧基-苯 基、4 -氯-2 -氣-苯基、4 -氣-2-甲氧基-5-曱基-苯基、4 -氣-〇比咬-3-基、4-二氣-2 -曱基-苯基、4-乙氧基-5-亂-哺。定-2-基、4 -乙氧基-♦淀-2 -基、4 -乙乳基-嘴淀-5 ·基、4 -乙基_ 1H-吼唑-3-基、4-氟-2-曱氧基-苯基、4-氟-2-甲基-苯基、 4 -氣苯基、4 -曱乳基-5 -甲基-嘯。定-2 -基、4 -甲乳基-σ比唆-3 _ 基、4-曱氧基嘧啶-2-基、4-曱氧基-嘧啶-5-基、4·曱基-苯 基、4 ·甲基-σ比咬-2 -基、4 ·曱基-17比咬_ - 3 -基、4 - σ比11定-1 -基-嘧啶-2-基、5,6-二甲氧基·吡嗪-2-基、5-乙醯基-噻吩-2-基、5_胺基-6-乙氧基-吡嗪-2-基、5-胺基-6-甲氧基-3-曱 144363.doc -38- 201032806 基-0比嘻-2-基、5-胺基_6_甲氧基-D比咬-2-基、5-氣-4-曱氧 基-嘧啶-2-基、5-氣-6-曱氧基-吡嗪-2-基、5-二曱基胺基_ 6-甲氧基- π比β桊_2-基、5 -氟-2-甲氧基苯基、5,敦_4·甲氧基_ 嘯咬-2-基、5-氟-6-甲氧基-11比°秦-2-基、5-氣-π比咬_2_基、 5_甲氧基- π比咬_3-基、5 -甲氧基-嗟吩-2-基、5-三氟甲基_嘴 咬-2-基、6_乙醯基-I»比咬-2-基、6-氯-"比唤-2-基、6_乙氧 基-π比嘻·2_基、6-乙氧基比0^-2-基、6-敗比咬_2_基、6_ 氟比唆-3 -基、6 -幾基比咬-2 -基、6-甲氧基-5·甲基胺基_ °比嗓-2-基、6-甲氧基-5-曱基-0比嗓-2-基、6-甲氧基_吼0秦_ 2-基、6-甲氧基-〇比咬-2-基、6-曱氧基-〇比。定-3-基、6-甲基 胺基比°秦-2-基、6-曱基比咬-2-基、5-胺基-6-(2,2,2-三氟 乙氧基)π比嘻_2-基、及6-二敗曱基-0比咬-2-基。 在一個實施例中,Q1為鹵代基。 在一個實施例中,Q1為烷基。在某些態樣中,qi係甲 基。 在—個實施例中,R2係選自氫及氟。在某些態樣中,R2 係氟。 在一個實施例中,R2係選自烷基。在某些態樣中,R2為 甲基。 在—個實施例中,R2選自烷氧基。在某些態樣中,R2為 甲氧基。 在—個實施例中,Q1為〇R3。 在—個實施例中’ R3係選自由甲基、乙基、異丙基、環 戊基及環己基組成之群。 144363.doc •39- 201032806 在一個實施例中’ R3係選自經取代及未經取代苯基、經 取代及未經取代噻唑基、經取代及未經取代吡啶基、經取 代及未經取代吡嗪基以及經取代及未經取代嘧啶基。 在一個實施例中,R3係選自由2-胺基乙基、2_六氫吡啶 基乙基、2-哌嗪乙基' 2-嗎啉基乙基、及2_(N_甲基哌嗪) 乙基組成之群。 在某些實施例中’ R係選自由氫、未經取代烧基、及經 取代院基組成之群。在某些此等實施例中,r係選自由甲 基、乙基、烯丙基、”基_丁基、及異丁基組成之群。在 其他實施财,R係選自由氫、节基、κ(4_甲氧基苯基)乙 基、甲基、3 -胺基丙基、及2_甲臬9 基2-馬琳基丙基組成之 ° 在本發明之另一實施例中 第二組份之mTOR抑制劑組合 提供作為第一組份且與作為 之式(III)化合物:Or a tautomer thereof, a pharmaceutically acceptable salt, or a prodrug, wherein Ra, R, X, oxime, z, and n are as defined previously for formula (11) and the restriction is if Ra is an amine Further, X, γ, 2 and η together cannot form a phenyl group, a 4-alkyl-phenyl group, a 4-alkoxy-phenyl group, or a 4-carboxylphenyl group. ❹ In some embodiments, if η is 〇, then X is c and 临近 is not Ο. In certain embodiments of the compound of formula (II) or (Ila), Ra is hydrogen. In other embodiments, Ra is a substituted or unsubstituted Cl_c6 alkyl group. In certain embodiments, 1 is alkyl or haloalkyl. In certain such embodiments, Ra is a methyl group. For the compounds of formula (I), (la), (II) or (Ha), representative substituted alkyl groups include arylalkyl, heteroarylalkyl, cycloalkylalkyl, heterocyclyl I44363 .doc .35- 201032806 Alkyl, aminoalkyl, alkylaminoalkyl, dialkylaminoalkyl, and sulfonylamino. Representative aryl groups include phenyl. Representative heteroaryl groups include pyridyl, pyridazinyl, pyrimidinyl, pyridazinyl, pyrazolyl, indolyl, quinolyl, isoquinolinyl, furyl, oxazolyl, thiazolyl, and thienyl. In one embodiment, a Q1 or Q2 is selected from the group consisting of substituted and unsubstituted phenyl, substituted and unsubstituted pyridyl, substituted and unsubstituted butyl, substituted, and Unsubstituted "pyrazinyl, substituted and unsubstituted fluorenyl, substituted and unsubstituted thiazolyl, and substituted and unsubstituted thienyl. In one embodiment, a Q1 or Q2 is selected from the group consisting of hexahydropyridyl 'morphine, pyrrolidinyl and benzylamine. In one embodiment, a Q1 or Q2 is selected from the group consisting of cyclohexyl and cyclopentyl. In one embodiment, a Q1 or Q2 is selected from the group consisting of cyclohexenyl and cyclopentenyl. In one embodiment, a Ql or Q2 is selected from the group consisting of substituted aryl, substituted heterocyclic, substituted heteroaryl, substituted C3_C7 cycloalkyl, and substituted C5-C./cycloalkenyl. a group wherein the aryl group, heterocyclic group, heteroaryl group, Cs-C:7 cycloalkyl group and C5_C7 cycloalkenyl group are selected from the group consisting of: 11 phenyl, phenyl, pyridyl, pyrazinyl , pyrimidinyl, pyridazinyl, pyrazolyl, pyridyl, triazolyl, fluorenyl, oxadiazolyl, thiadiazolyl, furyl, quinalyl, isoindolyl, heterosexual Base, oxalyl, thiazolyl, 144363.doc 201032806 morpholinyl, hexahydropyridyl, pyrrolidinyl, thienyl, cyclohexyl, cyclopentyl, cyclohexenyl and cyclopentenyl. In some aspects, the above groups may be formed from 1 to 2 groups selected from the group consisting of i, alkoxy, alkyl, amine, alkylamino, southern alkyl and dentate alkoxy groups. Substituted by a group of substituents. In one embodiment, a Q1 or Q2 is selected from substituted and unsubstituted pyridyl, substituted and unsubstituted pyrazinyl, substituted and unsubstituted phenyl, substituted and unsubstituted Isoquinolinyl, substituted and unsubstituted pyrimidine® groups, substituted and unsubstituted pyrazolyl groups, and substituted and unsubstituted furyl groups. In some aspects, the above group may be substituted with one to two substituents selected from the group consisting of a functional group, an alkoxy group, an alkyl group, an amine group, an alkylamino group, a halogenated alkyl group, and a halogenated alkoxy group. . In other embodiments, a Q1 or Q2 is selected from the group consisting of: (2-hydroxy-ethylamino)-pyrazine-2-yl, 1H-pyrazol-4-yl, 1-indenyl- 1H- 吼. -4-yl, 1-methyl-1H-pyrazol-4-yl, 2-(5-methyl-pyridin-2-yl)-phenyl, 2,3-difluoro-phenyl, 2, 3-dimethoxy-phenyl, 2,4-difluoro-phenylφ, 2,4-dimethoxy-phenyl, 2,4-dimethoxyoxy-pyrimidin-5-yl, 2, 5-difluoro-phenyl, 2,6-difluoro-phenyl, 2,6-dimethyl-pyridin-3-yl, 2-ethylaminophenyl, 2-aminocarbonylphenyl, 2 -Amino-pyrimidin-5-yl, 2-chloro-4-.decyloxy-pyrimidin-5-yl, 2-a-5-fluoro-pyridin-3-yl, 2-a-phenyl, 2- Chloridin-3-yl, 2_gas-"bipyridin-4-yl, 2-difluoro-3-indolylphenyl, 2-ethyl-phenyl, 2-ethoxy-thiazole-4 -yl, 2-fluoro-3-methoxy-phenyl, 2-fluoro-3-methylphenyl, 2-fluoro-4-mercapto-phenyl, 2-fluoro-5-methoxy-benzene , 2-fluoro-5-fluorenylphenyl, 2-fluorophenyl, 2-fluoro-n-bipyridyl-3-yl, 2-hydroxymethyl 144363.doc -37- 201032806 -3--3-methoxybenzene , 2-hydroxymethylphenyl, 2-isoquinolin-4-yl, 2-methoxy-5-trifluorodecyl-phenyl, 2-decyloxy-phenyl, 2-indenyl - acridine-3-yl, 2-methoxy-pyrimidin-4-yl, 2-decyloxy-thiazol-4-yl, 2-mercapto-phenyl, 2-methyl-pyridin-3-yl 2-sided oxygen -1,2-dihydro-pyridin-3-yl, 2-phenoxyphenyl, 2-. Bis-1-yl, 2-pyrimidin-5-yl, 2-trifluoromethoxyphenyl, 2-trifluoromethoxy-phenyl, 3,4-dimethoxy-phenyl, 3, 5-dimethyl 'isoxep-4-yl, 3,6-dimercapto-° ratio C-Qin-2-yl, 3-ethylamine basic, 3-aminophenyl, 3- >Smelly-phenyl, 3·Chloro-17 to 17-Qin-2-yl, 3-Champylphenyl, 3-D-decylaminophenyl, 3-ethoxy-phenyl, 3-ethyl -4 -Methyl-phenyl, 3-ethylhexyl-phenyl, 3- gas-6-decyloxy-. Than-2-yl, 3-(phenylene), 3-fluoro/pyrazin-2-yl, 3-methanesulfonylaminophenyl, 3-decyloxycarbonylphenyl, 3-methoxyphenyl , 3-decyloxy-pyridazin-2-yl, 3-mercapto-3Η-imidazo[4,5-b]pyrazin-5-yl, 3-methylphenyl, 3-methyl-pyridine 2-yl, 3-trifluoromethoxyphenyl, 3·trifluoromethylphenyl, 4,5-dimethoxyoxy-mouth-2-yl, 4-amino-5-fluoro-. Cyclodecyl-2-yl, 4- gas-2,5-dimethoxy-phenyl, 4-chloro-2- gas-phenyl, 4-air-2-methoxy-5-fluorenyl- Phenyl, 4-oxo-indole is more than -3-yl, 4-dioxa-2-indenyl-phenyl, 4-ethoxy-5-chaotic-feeding. Ding-2-yl, 4-ethoxy-y-ylide-2-yl, 4-ethylidyl-nodyl-5-yl, 4-ethyl-1H-indazol-3-yl, 4-fluoro- 2-decyloxy-phenyl, 4-fluoro-2-methyl-phenyl, 4-p-phenyl, 4-mercapto-5-methyl- whistling. -2-2-yl, 4-methyllacyl-σ 唆-3 _ group, 4-methoxy pyrimidin-2-yl, 4-decyloxy-pyrimidin-5-yl, 4·decyl-phenyl , 4 · methyl-σ ratio bit-2-yl, 4 · thiol-17 ratio biting _ - 3 - group, 4 - σ ratio 11 -1 -yl-pyrimidin-2-yl, 5,6-di Methoxypyrazin-2-yl, 5-ethenyl-thiophen-2-yl, 5-amino-6-ethoxy-pyrazin-2-yl, 5-amino-6-methoxy Base-3-曱144363.doc -38- 201032806 base-0 to indole-2-yl, 5-amino-6-methoxy-D than bit-2-yl, 5-a-4-pyridyloxy -pyrimidin-2-yl, 5-gas-6-decyloxy-pyrazin-2-yl, 5-didecylamino-6-methoxy-π ratio β桊_2-yl, 5-fluoro -2-methoxyphenyl, 5, _4·methoxy- 啸 -2--2-yl, 5-fluoro-6-methoxy-11 ratio ° Qin-2-yl, 5-gas-π Specific bite_2_yl, 5-methoxy-π ratio _3-yl, 5-methoxy-porphin-2-yl, 5-trifluoromethyl_mouth-2-yl, 6_ Ethyl-I»Bis-2-yl, 6-chloro-" bis-2-yl, 6-ethoxy-π 嘻·2_yl, 6-ethoxy ratio 0^-2 - base, 6-span ratio bite_2_yl, 6-fluoropyridin-3-yl, 6-severyl ratio bit-2-yl, 6-methoxy-5.methylamino group _ ° 嗓 - 2-based, 6-methoxy-5-mercapto-0 More than indol-2-yl, 6-methoxy-oxime 0-2-yl, 6-methoxy-oxime ratio -2-yl, 6-decyloxy-oxime ratio. Benz-3-yl, 6-methylamino group ° Qin-2-yl, 6-fluorenyl nib-2-yl, 5-amino-6-(2,2,2-trifluoroethoxy π is more than 嘻_2-based, and 6-di-deuterogenyl-0 is more than -2-. In one embodiment, Q1 is halo. In one embodiment, Q1 is an alkyl group. In some aspects, qi is a methyl group. In one embodiment, R2 is selected from the group consisting of hydrogen and fluorine. In some aspects, R2 is fluorine. In one embodiment, R2 is selected from the group consisting of alkyl groups. In some aspects, R2 is methyl. In one embodiment, R2 is selected from alkoxy. In some aspects, R2 is methoxy. In one embodiment, Q1 is 〇R3. In one embodiment, 'R3' is selected from the group consisting of methyl, ethyl, isopropyl, cyclopentyl and cyclohexyl. 144363.doc •39- 201032806 In one embodiment 'R3 is selected from substituted and unsubstituted phenyl, substituted and unsubstituted thiazolyl, substituted and unsubstituted pyridyl, substituted and unsubstituted Pyrazinyl and substituted and unsubstituted pyrimidinyl. In one embodiment, R3 is selected from the group consisting of 2-aminoethyl, 2-hexahydropyridylethyl, 2-piperazinyl '2-morpholinylethyl, and 2-(N-methylpiperazine) a group of ethyl groups. In certain embodiments, the 'R is selected from the group consisting of hydrogen, unsubstituted alkyl, and substituted theater groups. In certain such embodiments, r is selected from the group consisting of methyl, ethyl, allyl, "yl-butyl, and isobutyl." In other embodiments, R is selected from the group consisting of hydrogen and a sulfhydryl group. , κ (4-methoxyphenyl) ethyl, methyl, 3-aminopropyl, and 2-methylamino 9-malinylpropyl. In another embodiment of the present invention A two component mTOR inhibitor combination is provided as the first component and as a compound of formula (III):
Ra πRa π
R8 R5 醫藥上可接受之鹽、或 或其立體異構體、互變異構體、 前藥,其中 144363.doc 201032806 其中…係選自由下列組成之群: ⑴氫, (2) 鹵素, (3) 羥基, (4) 烧氧基, - (5)硫醇, (6) G-C6烷基硫醇, (7) 經取代或未經取代Ci_C6烷基, Φ (8)胺基或經取代胺基, (9) 經取代或未經取代芳基, (10) 經取代或未經取代雜芳基及 (11) 經取代或未經取代雜環基; V為氫或者經取代或未經取代Ci_c6烷基; S為氫、烷基、烷氧基、或齒代基; R、R、R8及R9各自獨立地選自由氫、烷基、烷氧基、 ❹ f代基、經取代或未經取代芳基、及經取代或未經取代雜 ^•基紐成之群;或者 —其體異構體、互變異構體、醫藥上可接受之鹽、或前 :'5限制條件為若^為胺基且R6、R7、R8及R9為氫,則 • R不可為氫、烷基、烷氧基、或由代基。 ^實施例中,提供作為第一組份之式⑴⑷化合 I44363.doc -41 - 201032806R8 R5 A pharmaceutically acceptable salt, or a stereoisomer, tautomer, prodrug thereof, wherein 144363.doc 201032806 wherein ... is selected from the group consisting of: (1) hydrogen, (2) halogen, (3) ) hydroxy, (4) alkoxy, - (5) thiol, (6) G-C6 alkyl thiol, (7) substituted or unsubstituted Ci_C6 alkyl, Φ (8) amine or substituted Amino, (9) substituted or unsubstituted aryl, (10) substituted or unsubstituted heteroaryl and (11) substituted or unsubstituted heterocyclic; V is hydrogen or substituted or not Substituting Ci_c6 alkyl; S is hydrogen, alkyl, alkoxy, or dentate; R, R, R8 and R9 are each independently selected from hydrogen, alkyl, alkoxy, fluorenyl, substituted or Unsubstituted aryl, and substituted or unsubstituted heterocyclic groups; or - their isomers, tautomers, pharmaceutically acceptable salts, or pre-[5] If R is an amine group and R6, R7, R8 and R9 are hydrogen, then • R may not be hydrogen, an alkyl group, an alkoxy group, or a substituent. ^ In the examples, the formula (1)(4) is provided as the first component. I44363.doc -41 - 201032806
或其互變異構體、醫藥上可接受之鹽、或前藥,其中 Ra ' R4 ' r5 ' R6、R7、R8及R9均為如先前對式(III)所定義 且限制條件為若1^為胺基且R6、R7、R8及R9為氮,則R5不 為氫、烷基、烷氧基、或齒代基。 在某些實施例中,Ra為氫。 在某些實施例中,Ra為經取代或未經取代Ci_c6烷基。 在某些實施例中,1^為Cl_c6烷基或鹵代Cl_c6烷基。在 某些此等實施例中,Ra為曱基。 在本發明之某些實施例中,R4係選自由氫、苄基、 甲氧基笨基)乙基、曱基、3_胺基丙基及2_曱基_2嗎啉基 丙基組成之群。在其他實施例中,R係選自由曱基、乙 基、稀丙基、3·曱基-丁基及異丁基組成之群。 在某些實施例中,R5為氫或氟。在某些態樣中,尺5為 氟。 在某些實施例中,R5為甲基或甲氧基。 在某些實施例中,R7、R8及R9各自為氫。 在某些實施例中’ R6為可經1至2個選自由鹵代基、烷氧 144363.doc •42· 201032806 基、烧基、胺基、烷基胺基、齒代烷基及鹵代烷氧基組成 之群之取代基取代的芳基或雜芳基。 在某些實施例中,R6係選自由經取代芳基及經取代雜芳 基組成之群,其中該芳基及雜芳基係選自由下列組成之 群:呋喃基、吼咯基、苯基、吡啶基、吼嗪基、嘧啶基、 塔嗪基、吡唑基、咪唑基、三唑基、吲哚基、噁二唑基、 噻二唑基、喹啉基、異喹啉基、異噁唑基、噁唑基、噻唑 基、及嗔吩基。在某些態樣中,上述基團可經1至2個選自 由鹵代基' 烷氧基、烷基、胺基、烷基胺基、齒代烷基、 及鹵代烷氧基組成之群之取代基取代。 在其他實施例中,R6係選自由下列組成之群:(2_經基_ 乙基胺基°比喚-2-基、1H- 0比0坐-4-基、1-曱基_i H- °比0坐-4_ 基、甲基-1Η-»比峻-4-基、2-(5-曱基-η比咬_2_基)_苯基、 2,3-— I-苯基、2,3-二甲氧基-苯基、2,4-二氟-苯基、2,4-二甲氧基-苯基、2,4-二甲氧基-嘧啶-5-基、2,5-二氟-苯 基、2,6-二敦-苯基、2,6-二甲基-°比啶-3-基、2-乙醯胺基苯 基、2-胺基幾基苯基、2-胺基·嘴咬-5-基、2-氣_4_甲氧基_ 嘧啶-5-基、2·氣-5-氟-吡啶-3-基、2-氣-苯基、2_氯·吡啶_ 3-基、2_氯·。比啶_4_基、2_二氟_3_曱氧基笨基、2·乙基_苯 基、2-乙氧基-噻唑_4_基、2_氟_3_甲氧基_笨基、2_氟_3•甲 基苯基、2-氟-4-甲基-苯基、2_氟_5_曱氧基_笨基、2_氟_5_ 曱基本基、2 -氟笨基、2 -氟比咬-3 -基、2-經基甲基_3_甲 氧基苯基、2-羥基甲基苯基、2_異喹啉_4_基、2_曱氧基_5_ 三氟甲基-苯基、2_甲氧基_苯基、2_甲氧基·„比啶·3基、2_ 144363.doc -43 - 201032806 甲氧基-嘧啶-4-基、2-曱氧基-噻唑-4-基、2-曱基-苯基、2-甲基-ϋ比咬-3 ·基、2 -側氧基-1,2 -二風-ϋ比咬-3 -基、2 -苯氧基 苯基、2-吼啶-3-基、2-嘧啶-5-基、2-三氟甲氧基苯基、2-三氟曱氧基-苯基、3,4-二曱氧基-苯基、3,5-二曱基-異噁 唑_4-基、3,6-二曱基-吡嗪-2-基、3-乙醯胺基苯基、3-胺基 戴基苯基、3 ->臭-苯基、3 -亂比唤-2 -基、3 -乳基苯基、3· 二曱基胺基苯基、3-乙氧基-苯基、3-乙基-4-曱基-苯基、 3 -乙快基-苯基、3 -氣-6·甲氧基-σ比唆-2-基、3 -氣苯基、3· 氟-吼嗪-2-基、3-曱烷磺醯胺基苯基、3·曱氧基羰基苯 基、3-甲氧基苯基、3-甲氧基-吼嗪-2-基、3-甲基-3Η-咪唑 并[4,5-b]吡嗪-5-基、3 -甲基苯基、3 -曱基-吡啶-2-基、3-三氟曱氧基苯基、3-三氟甲基苯基' 4,5-二甲氧基-嘧啶-2-基、4 -胺基-5-氣-嘯唆-2-基、4 -氯-2,5 -二甲氧基-苯基、4-氣-2 -氣·苯基、4 -風(-2-甲乳基-5 -甲基-本基、4·乳-。比淀-3_ 基、4 -二氣-2 -甲基-苯基、4 -乙氧基-5 -氣-嘴σ定-2 -基、4 -乙 氧基-喂°定-2 -基、4 -乙氧基-17 密σ定-5 -基、4 -乙基-1Η - °比σ坐-3 _ 基、4 -氣-2-曱氧基-苯基、4 -氣-2-曱基-苯基、4_氣苯基、 4 -曱乳基-5 -曱基-°密淀-2 -基、4 -甲氧基-σ比淀-3 -基、4 -曱氧 基-嘧啶-2-基、4-甲氧基-嘧啶-5·基、4-甲基-苯基、4-曱 基-β比。定_ 2 -基、4 -甲基-^比。定-3 -基、4 -α比洛-1 -基-嘴- 2 · 基、5,6 -二曱乳基-°比β秦-2 -基、5 -乙酿基-嗟吩-2 -基、5 -胺 基· 6 -乙氧基_σ比°秦-2 -基、5 -胺基-6-甲氧基-3-甲基-σ比唤-2 -基、5 -胺基-6-曱氧基-。比。定-2 -基、5 -氣-4-甲氧基-°¾淀- 2-基、5 -氣-6-曱氧基-0比唤-2-基、5 -二甲基胺基-6-曱氧基-σ比 144363.doc •44- 201032806 °秦-2-基、5 -氟-2-甲氧基苯基、5 -氟-4-曱氧基-嘲咬-2-基、 5- 氟-6-曱氧基-吡嗪-2-基、5-氟-吡啶-2-基、5-曱氧基-吡 咬-3 -基、5 -甲氧基-嗟吩-2 -基、5 -二氣曱基-β密咬-2 -基、6 _ 乙酿基-°比°定-2 -基、6 -乳-°比°秦-2 -基、6 -乙氧基-α比π秦-2 -基、6 -乙乳基-ntb。定-2 -基、6 -氣-0比咬-2 -基、6 -氣-π比咬-3 -基、6 -輕基-π比咬-2 -基、6 -甲氧基-5 -甲基胺基-α比嗓-2 -基、 6- 甲氧基-5-甲基-吡嗪-2-基、6-甲氧基-吡嗪-2-基、6-曱氧 基-π比唆-2 -基、6 -曱氧基-°比。定-3 -基、6 -曱基胺基-0比°秦-2 _ 基、6-甲基-吡啶-2-基、5-胺基-6-(2,2,2-三氟乙氧基)吡嗪-2-基、及6-三氟曱基-吡啶-2-基。 可提供存於醫藥上可接受之載劑中之第一組份及第二組 份以形成醫藥組合物。 在本發明之另一實施例中,提供作為第一組份之式(IV) 化合物:Or a tautomer thereof, a pharmaceutically acceptable salt, or a prodrug thereof, wherein Ra ' R4 ' r5 ' R6, R7, R8 and R9 are as defined above for formula (III) and the restriction is 1^ Is an amine group and R6, R7, R8 and R9 are nitrogen, and R5 is not hydrogen, alkyl, alkoxy, or a dentate group. In certain embodiments, Ra is hydrogen. In certain embodiments, Ra is substituted or unsubstituted Ci_c6 alkyl. In certain embodiments, 1 is a Cl_c6 alkyl group or a halogenated Cl_c6 alkyl group. In some of these embodiments, Ra is a fluorenyl group. In certain embodiments of the invention, R4 is selected from the group consisting of hydrogen, benzyl, methoxyphenyl)ethyl, decyl, 3-aminopropyl, and 2-indenyl-2-morpholinopropyl Group. In other embodiments, R is selected from the group consisting of decyl, ethyl, propyl, 3-decyl-butyl, and isobutyl. In certain embodiments, R5 is hydrogen or fluoro. In some aspects, the ruler 5 is fluorine. In certain embodiments, R5 is methyl or methoxy. In certain embodiments, each of R7, R8, and R9 is hydrogen. In certain embodiments, 'R6 is exemplified by 1 to 2 selected from halo, alkoxy 144363.doc • 42· 201032806, alkyl, amine, alkylamine, alkenyl, and haloalkoxy An aryl or heteroaryl group substituted with a substituent of the group of base groups. In certain embodiments, R6 is selected from the group consisting of substituted aryl and substituted heteroaryl, wherein the aryl and heteroaryl are selected from the group consisting of furanyl, fluorenyl, phenyl , pyridyl, pyridazinyl, pyrimidinyl, thiazinyl, pyrazolyl, imidazolyl, triazolyl, fluorenyl, oxadiazolyl, thiadiazolyl, quinolinyl, isoquinolinyl, iso Oxazolyl, oxazolyl, thiazolyl, and porphinyl. In some aspects, the above group may be one or two selected from the group consisting of a haloalkyl alkoxy group, an alkyl group, an amine group, an alkylamino group, a dentate alkyl group, and a halogenated alkoxy group. Substituent substitution. In other embodiments, R6 is selected from the group consisting of: (2-trans-ethylamino)-pyridyl-2-yl, 1H- 0 to 0--4-yl, 1-indenyl-i H- ° is 0-base-4, methyl-1Η-»比峻-4-yl, 2-(5-fluorenyl-η ratio bit_2_yl)-phenyl, 2,3--I- Phenyl, 2,3-dimethoxy-phenyl, 2,4-difluoro-phenyl, 2,4-dimethoxy-phenyl, 2,4-dimethoxy-pyrimidine-5- , 2,5-difluoro-phenyl, 2,6-di-n-phenyl, 2,6-dimethyl-pyridin-3-yl, 2-ethylaminophenyl, 2-amine Alkyl phenyl, 2-amino group, mouth bite-5-yl, 2-gas_4_methoxy-pyrimidin-5-yl, 2·gas-5-fluoro-pyridin-3-yl, 2- Gas-phenyl, 2-chloro-pyridine-3-yl, 2-chloro.bipyridyl-4-yl, 2-difluoro-3-indolyl, 2-ethyl-phenyl, 2- Ethoxy-thiazole-4-yl, 2-fluoro-3-yloxy-phenyl, 2-fluoro-4-methylphenyl, 2-fluoro-4-methyl-phenyl, 2-fluoro 5_曱oxy_styl, 2_fluoro_5_ 曱 basic, 2-fluorophenyl, 2-fluoropyridyl-3-yl, 2-pyridylmethyl-3-methoxyphenyl, 2 -hydroxymethylphenyl, 2-ioquinoline-4-yl, 2-methoxycarbonyl_5-trifluoromethyl-phenyl, 2-methoxy-phenyl, 2_ Oxyl „ 比 · 3 3 2, 2 144363.doc -43 - 201032806 methoxy-pyrimidin-4-yl, 2-decyloxy-thiazol-4-yl, 2-mercapto-phenyl, 2- Methyl-ϋ 咬 -3 · · 、 2 2 2 2 2 -3 · · · · · · · · · · · · · · 2 2 2 2 2 2 2 2 2 2 2 2 2 2 -pyrimidin-5-yl, 2-trifluoromethoxyphenyl, 2-trifluorodecyloxy-phenyl, 3,4-dimethoxy-phenyl, 3,5-didecyl-iso- Azole 4-yl, 3,6-dimercapto-pyrazin-2-yl, 3-ethylamidophenyl, 3-aminodylphenyl, 3 -> odor-phenyl, 3- Scrambled-2 -yl, 3-butenylphenyl, 3·didecylaminophenyl, 3-ethoxy-phenyl, 3-ethyl-4-indolyl-phenyl, 3-B Fast-phenyl, 3- gas-6·methoxy-σ-pyridin-2-yl, 3- gas phenyl, 3·fluoro-pyridazin-2-yl, 3-decanesulfonylaminobenzene ,3,methoxycarbonylphenyl, 3-methoxyphenyl, 3-methoxy-pyridazin-2-yl, 3-methyl-3-indole-imidazo[4,5-b]pyrazine -5-yl, 3-methylphenyl, 3-mercapto-pyridin-2-yl, 3-trifluoromethoxyphenyl, 3-trifluoromethylphenyl '4,5-dimethoxy -pyrimidin-2-yl, 4-amino-5-a-furan-2-yl, 4-chloro-2,5-di Group - phenyl, 4-gas -2-- gas-phenyl, 4 - wind (2-milk-5 - methyl - group present, 4. Milk -.淀丁-3_yl, 4-di-2-yl-methyl-phenyl, 4-ethoxy-5-gas-nose sigma-2-yl, 4-ethoxy-azepine-2-yl , 4-ethoxy-17 succinyl-5-yl, 4-ethyl-1 Η - ° ratio σ sitting -3 yl, 4- gas-2-decyloxy-phenyl, 4- gas-2 - mercapto-phenyl, 4-p-phenyl, 4-mercapto-5-indenyl-dense-2 -yl, 4-methoxy-σ-precipitate-3-yl, 4-oxo Alkyl-pyrimidin-2-yl, 4-methoxy-pyrimidin-5-yl, 4-methyl-phenyl, 4-mercapto-β ratio. Determine _ 2 -base, 4-methyl-^ ratio. D--3, 4-α-pyrrol-1 -yl-mouth- 2 ·yl, 5,6-dioxalate-° ratio β-Qin-2-yl, 5-ethyl-bristyl-porphin-2 -yl, 5-amino-6-ethoxy_σ ratio °Qin-2-yl, 5-amino-6-methoxy-3-methyl-σ -2-2-yl, 5-amine Base-6-methoxy-. ratio. -2 -yl, 5-oxo-4-methoxy- ̄3⁄4-precipitate 2-yl, 5- gas-6-decyloxy-0-but-2-yl, 5-dimethylamino- 6-decyloxy-σ ratio 144363.doc •44- 201032806 °Qin-2-yl, 5-fluoro-2-methoxyphenyl, 5-fluoro-4-indolyl-branch-2-yl , 5-fluoro-6-decyloxy-pyrazin-2-yl, 5-fluoro-pyridin-2-yl, 5-methoxy-pyridyl-3-yl, 5-methoxy-porphin- 2-based, 5-dione fluorenyl-β-bense-2-based, 6 _ ethyl-branched-° ratio -2, base- 6-milk-° ratio ° Qin-2-based, 6-B Oxy-α is more than π-Qin-2-yl, 6-ethyllacyl-ntb.定-2 - base, 6 - gas-0 ratio bite - 2 - base, 6 - gas - π ratio bite - 3 - base, 6 - light base - π ratio bite - 2 - base, 6 - methoxy-5 -Methylamino-α-pyridin-2-yl, 6-methoxy-5-methyl-pyrazin-2-yl, 6-methoxy-pyrazin-2-yl, 6-decyloxy -π is more than 唆-2 -yl, 6-decyloxy-° ratio. 3-decyl, 6-fluorenylamino-0-pyridyl-2, benzyl, 6-methyl-pyridin-2-yl, 5-amino-6-(2,2,2-trifluoroethyl Oxy)pyrazin-2-yl, and 6-trifluorodecyl-pyridin-2-yl. The first component and the second component of the pharmaceutically acceptable carrier can be provided to form a pharmaceutical composition. In another embodiment of the invention, a compound of formula (IV) is provided as the first component:
(IV) 或其立體異構體、互變異構體、醫藥上可接受之鹽、或 前藥,其中 R4為氫或者經取代或未經取代CkG烷基, 144363.doc -45 - 201032806 R為氫或鹵代基 » 6a R a係選自由鹵代甚、M 上 ,’· 代或未經取代芳基、及經取 代或未經取代雜芳基組成之群。 在某些實施例中,提供作盔楚 Δ 捉供作為第一組份之式(IVa)化合 物:(IV) or a stereoisomer, tautomer, pharmaceutically acceptable salt thereof, or prodrug thereof, wherein R4 is hydrogen or substituted or unsubstituted CkG alkyl, 144363.doc -45 - 201032806 R is The hydrogen or halo group » 6a R a is selected from the group consisting of halo, M, 'or substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl. In certain embodiments, a compound of formula (IVa) is provided as a first component for the first component:
(IVa) 或其互變異構體、醫藥上可接受之鹽、或前藥,其中 R4、R5及R6a均如先前對式(IV)所定義。 在式(IV)或(IVa)化合物之某些實施例中,R4係選自由 氫、苄基、丨气‘甲氧基苯基)乙基、甲基、3_胺基丙基、 及2-甲基-2-嗎嘛基丙基組成之群。在其他實施例中,R係 選自由甲基、乙基、烯丙基'3-曱基-丁基、及異丁基組成 之群。 在某些實施例中’ R5為氫或氟。在某些態樣中,r5為 氟。 在某些態樣中,R6a為可經1至2個選自由鹵代基、燒氧 基、烷基、胺基、烷基胺基、_代垸基及齒代烷氧基組成 之群之取代基取代的芳基或雜芳基。 144363.doc -46 - 201032806 在某些實施例中’ R6a係選自由經取代芳基及經取代雜 方基組成之群’其中該芳基及雜芳基係選自由下列組成之 群.咳嗔基、η比略基、苯基、吼鳴基、^比嗓基、嘴咬基、 °合嗪基、《比。坐基、咪唑基、三唑基、吲哚基、噁二唑基、 售二唾基、喹啉基、異喹啉基、異噁唑基、噁唑基、噻唑 基及嗟吩基。在某些態樣中,上述基團可經1至2個選自由 函代基、烷氧基、烷基、胺基、烷基胺基、函代烷基、及 鹵代烷氧基組成之群之取代基取代。 在某些實施例中,尺62係選自由下列組成之群:(2-羥基_ 乙基胺基)-°比唤-2-基、1Η-°比。坐-4-基、1-甲基-1Η-"比嗤_4_ 基、1-曱基-1Η-»比"坐-4-基、2-(5-甲基比咬-2-基)-苯基、 2,3-二氟-苯基、2,3-二甲氧基-苯基、2,4-二氟-苯基、2,4-二甲氧基-苯基、2,4-二甲氧基-嘧啶-5-基、2,5·二氟-苯 基、2,6-二氟-笨基、2,6-二曱基比咬-3-基、2 -乙酿胺基苯 基、2-胺基幾基苯基、2-胺基-°¾咬-5-基、2 -氣-4 -曱氧基· ♦咬-5-基、2 -氯-5-氣-D比咬-3-基、2 -氣-苯基、2 -氣-吼咬-3-基、2-氣-吡啶-4-基、2-二氟-3-甲氧基苯基、2-乙基-苯 基、2 -乙氧基-°塞°坐-4-基、2 -氣-3-甲氧基-苯基、2 -氣-3-甲 基苯基、2-氟-4-甲基-苯基、2-氟-5-曱氧基-笨基、2_氟-5_ 曱基苯基、2-氟苯基、2-氟比啶-3-基、2-羥基甲基-3-甲 氧基苯基、2_羥基甲基苯基、2-異喹啉-4-基、2-曱氧基-5-三氟甲基-苯基、2-甲氧基-苯基、2-甲氧基_D比啶·3_基、2_ 甲氧基-嘧啶-4-基、2-曱氧基-噻唑-4-基、2-甲基-苯基、2-甲基-吡啶-3·基、2-側氧基-1,2-二氫-吡啶-3-基、2-苯氧基 144363.doc -47- 201032806 苯基、2-吡啶-3-基、2-嘧啶-5-基、2-三氟甲氧基苯基、2-三氟甲氧基-苯基、3,4-二甲氧基-苯基、3,5-二甲基-異噁 ϋ坐-4 -基、3,6 -二甲基-°比°秦-2 -基、3 -乙酿胺基苯基、3 -胺基 魏基苯基、3 ->臭-苯基、3 -乳-σ比嗓-2 -基、3 -亂基苯基、3· 二甲基胺基苯基、3_乙氧基-苯基、3_乙基-4-曱基-苯基、 3 -乙快基-苯基、3 -氣-6-甲氧基-°比。定-2-基、3 -氣苯基、3-氟-吼嗪-2-基、3-曱烷磺醯胺基苯基、3-甲氧基羰基苯 基、3-曱氧基苯基、3-曱氧基比嗪-2-基、3_甲基-3Η-咪唑 并[4,5-b]吡嗪-5-基、3 -曱基苯基、3 -甲基-吡啶-2-基、3-三氟曱氧基苯基、3-三氟曱基苯基、4,5-二曱氧基-嘧啶-2-基、4 -胺基-5-氣密σ定-2-基、4 -氣-2,5 -二甲乳基-苯基、4-氣-2 -氣-苯基、4 -氣-2-甲氧基-5-甲基-苯基、4 -氣-°比咬- 3-基、4-二氣-2-甲基-苯基、4-乙乳基-5-氣·嘴淀-2-基、4 -乙 氧基-嘧啶-2-基、4-乙氧基-嘧啶-5-基、4-乙基-1Η-吡唑-3-基、4 -氟-2-曱氧基-苯基、4 -氣-2-曱基-苯基、4 -氣苯基、 4-甲氧基·5-甲基-嘧啶-2-基、4-甲氧基-吡啶-3-基、4-曱氧 基-嘧啶-2-基、4-曱氧基·嘧啶-5-基、4-甲基-苯基、4·曱 基-°比嘴-2 -基、4 -甲基-σΐΐί- 3 -基、4 - 洛σ定-1 -基-鳴淀-2 -基、5,6 ·二曱氧基-^比唤-2 -基、5 -乙酿基-ϋ塞吩-2 -基、5 -胺 基-6 -乙氧基-17比唤-2 -基、5 -胺基-6 -甲氧基-3 -甲基-°比°秦-2 _ 基、5-胺基-6-甲乳基-D比淀-2-基、5 -乳-4-曱氧基-喷淀-2_ 基、5-氯-6-曱氧基比嗪-2-基、5-二甲基胺基-6-甲氧基比 唤-2-基、5-氣-2-曱氧基苯基、5-氣-4-曱氧基-°¾唆-2-基、 5·氟-6-甲氧基-吼嗪-2-基、5-氟-吼啶-2-基、5-甲氧基-吡 144363.doc -48- 201032806 咬-3-基、5_甲氧基_嗔吩·2_基、5_三氟甲基-嘴咬々·基、6 乙醯基比咬I基、6·氣1嗪-2-基、6-乙氧基1嗪^ 土 6乙氧基_比疋_2-基、心氟-吡啶_2_基、6_氟_〇也★ 3 基、6-羥基比啶·2-基、6_甲氧基_5_甲基胺基-吡嗪、h基、 6·甲氧基-5-甲基比嗪_2-基、6_甲氧基比唤_2_基、心甲一 基比啶-2-基、6-甲氧基-吡啶_3_基、6_甲基胺基-吡嗪< 基、6-甲基』比咬-2_基、5_胺基冬(2,2,2·三氣乙氧基) 2_基、及6-三氟曱基-吡啶_2基。 作為本發明之組合 化合物包括: 之第一組份使用之較佳Hsp9〇抑制劑 ()2-胺基-7-[2-(2-l_n比啶_3基)苯基]·4甲基&二 氫-6Η-吡啶并[4,3_d]嘧啶_5酮丨 ,— 胺基-6·节基 _7_「4 & 。 田苴 鼠·2'2-氟吡啶-3-基)-苯基]_4· -7,8-二氫-6Η_吡啶并[43d]嘧啶_5酮; 胺基-7·[4-氣技 _ > -氟· 口比咬_3_基)-笨基]-4-甲基_ ,-一氧-6Η-吡啶并[4,3_d]嘧啶 _5__ ; (汉胺基·7·(2_ 淳-4- ϋ ^ (…胺基-鄉曱^ 7〇 _ . 1 軋基_°比啶_2_基卜笨基]-4-曱美 ,一氧1〇比咬并[4,3哥密咬-5-酮; 土 (R)~2-胺基_7-[4-氟-2-(6-曱梟就 A7R ^ 乳基比咬_2~基)-苯基]-4-甲 基,8·二氫-6H“比唆并[4,3-咐咬_5_酮; 2_胺基-7-[4-氟-2-(6-甲氣其 基-78 氧基-。比啶-2_基)'笨基]-4,6-二曱 ,8-—虱-6H-吡啶并[4,3_d]嘧啶_5-酮; 144363.doc -49. 201032806 2 -胺基-7-[4-氟-2-(2-敗-0比唆-3 -基)-苯基]-4,6-二甲基-7,8-二氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-7-[4-氟-2-(6-甲氧基》比啶-2-基)苯基]-4-甲基-7,8-二氫D比咬并[4,3-(1]嘴。定-5(6H)-酮; 2-胺基-7-[2-(6-甲氧基-0比嗓-2-基)-苯基]-4-甲基-7,8-二 氫-6H-吡啶并[4,3-d]嘧啶-5-酮; (R)-2-胺基- 7- [4-乱- 2- (6-甲氧基-D比0秦-2-基)-本基]-4-曱 基-7,8-二氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2 -胺基- 7- [4 -乱-2-(6-曱氧基-0比嗓-2-基)-苯基]-4,6 -二曱 基-7,8-二氫-6只-吡啶并[4,3-(1]嘧啶-5-酮; 2-胺基-7-[2-(2-甲氧基-0比咬-3-基)-苯基]-4-甲基-7,8-二 氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基- 7- (5,2^ 二氣-聯苯-2-基)-4-甲基- 7,8 -二氮-啶并[4,3-d]嘧啶-5-酮; 2 -胺基- 7- (5 -氣-21-三氣曱氧基-聯苯-2-基)-4 -甲基-7,8 -二 氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-7-[2-(2-氣-1?比咬-3-基)-4-氣-苯基]-4-甲基-7,8-二 氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2 -胺基- 7- [4 -貌-2-(6 -氣-D比咬-3-基)-苯基]-4 -甲基-7,8 -二 氫-6Η-η比咬并[4,3-d]嘯咬-5-酮; 2 -胺基-7-(4 -亂-2-異啥琳-4-基-苯基)-4-曱基- 7,8 - 一風-6H-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基_7-(5,3l-二乱-聯苯-2-基)-4-曱基-7,8-二風-6H-0比 咬并[4,3-d]°密咬-5-酮; 144363.doc -50- 201032806 2-胺基- 7- [2-(4 -乳-n比咬-3-基)-4-鼠-苯基]-4-甲基-7,8-二 氫-6Η-Π比咬并[4,3-d]嘴咬-5-酮; 2 -胺基- 7- (5,2· -二氣-3^甲氧基-聯苯-2-基)-4 -甲基-7,8 -二 氫-6H-aitD定并[4,3-d]°^。定-5-酮; 2-胺基- 7- (5,4L二氟i -2'-曱基-聯苯-2-基)-4-甲基-7,8-二 氫-6Η-β比咬并[4,3-d]鳴咬-5-酮; 2-胺基- 7- (5 -氣-21-甲氧基-聯苯-2-基)-4-曱基- 7,8-二氮· 611-11比'1定并[4,3-(1]嘴咬-5-酮; 2-胺基- 7- (4 -氣-2 -嘴°定-5-基-苯基)-4-甲基- 7,8 -二氮- 6H· 吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-7-[4-氟-2-(2-曱氧基比啶-3-基)-苯基]-4-曱基- 7.8- 二氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基- 7- (5 -氣-3'-甲氧基-聯苯-2-基)-4-甲基- 7,8-二氮_ 6Η-ΠΛ 咬并[4,3-(1]°¾ 咬-5-_ ; (R) _ 2 -胺基- 6-(3 -胺基-丙基)-7-[4-氣-2-(6-甲氧基-Dtb咬· 2-基)-苯基]-4-甲基-7,8-二氫-6H-。比啶并[4,3-d]嘧啶-5-酮; 2-胺基- 7- (4 -氣-2 -σ比咬-3-基-苯基)-4-甲基- 7,8 -二氮-6H_ 吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-7-(5,2'-二氟-4·-甲基-聯苯-2-基)-4-曱基-7,8-二 氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2 -胺基- 7- [4 -亂-2-(1-甲基-1Η -n比β坐-4 -基)-苯基]-4 -曱基· 7.8- 二氫-6Η-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-7-[4-氟-2-(111-°比唑-4-基)-苯基]-4-甲基-7,8-二 144363.doc -51 - 201032806 氫-6H-吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-4-甲基-7-(5,2,,3’-三氟-聯苯_2_基)々8_二氫_6h_ 吡啶并[4,3-d]嘧啶-5-酮; 2-胺基-7-(2-漠-4-氣-苯基)-4·甲基_6_(2_甲基_2_嗎啉_4_ 基-丙基)-7,8-二氫- 6H-11 比咬并[4,3-d],^_5_g^ 2-胺基-7-(3’-二甲基胺基-5-氣-聯苯_2_基)、‘甲基_7,8_二 氫-6Η-»比咬并[4,3-ci]嘧咬-5-酮; 2_胺基_:·[2·(2木二甲氧基_錢_5基)·4、氟_苯基]_4甲 基-7,8-二氫-6Η-吡啶并[4,3-d]嘧啶-5-酮; 2_胺基_7_[4_氟_2_(5_甲氧基n3_基)、笨基卜甲基_ 7,8-二氫-6H-吨啶并[4,3_d]嘧啶_5_酮; 2-胺基-7-(4-氟鳴咬_5备苯基)·4_甲曱基冬 嗎淋-4备丙基)_7,8_二氫_6Η-°比咬并[4,3-d]鳴喷领; 2-胺基-7-[4ϋ(2·甲氧基比咬-3_基)_笨基]*_甲基冬 (2-甲基:2-嗎琳-4冬丙基”,8_二氮领,他清密 咬-5-嗣, 2-胺基邻-氟_3,_甲氧基,苯_2基)_4 2-嗎啉-4-基-丙美、,〇 * 1 Τ ^ 土)_7,8_二虱-6Η-吡啶并[4,3-d]嘧啶-5_酮; (R)-2-胺基 氟_ _( _甲氧基-5-曱基嘴唆_2_某彳策 基]_4-曱基-7 8-- & 疋2基)本 ,〜虱-6Η-°比咬并[4,3-d]。密啶-5-酮; 2-胺基-7-(4-顧 1 + + , «比4Γ43⑴ 基_苯基)_4_甲基-7,8_二氫_6H_ 比疋并[4,3-d],啶、5酮及 其立體異構<1* ^ 體、互變異構體及醫藥上可接受之鹽或前 藥0 144363.doc •52· 201032806 上述Hsp90抑制劑式(I)化合物之實例及製造該等之方法 揭示於在2007年5月3 1曰公開之美國專利公開申請案第 2007-0123546 A1號中,該案件之全文以引用方式併入本 文中。 其他適宜Hsp90抑制劑包括式(D)之異噁唑衍生物及其區 域異構體以及其鹽、溶劑合物及水合物、及其前藥(IVa) or a tautomer thereof, a pharmaceutically acceptable salt, or a prodrug thereof, wherein R4, R5 and R6a are as defined above for formula (IV). In certain embodiments of the compound of Formula (IV) or (IVa), R4 is selected from the group consisting of hydrogen, benzyl, hydrazine 'methoxyphenyl) ethyl, methyl, 3-aminopropyl, and a group consisting of -methyl-2-yl-propyl. In other embodiments, R is selected from the group consisting of methyl, ethyl, allyl '3-mercapto-butyl, and isobutyl. In certain embodiments 'R5 is hydrogen or fluorine. In some aspects, r5 is fluorine. In certain aspects, R6a is a group consisting of 1 to 2 selected from the group consisting of halo, alkoxy, alkyl, amine, alkylamine, hydrazino, and alkoxy. Substituent substituted aryl or heteroaryl. 144363.doc -46 - 201032806 In certain embodiments 'R6a is selected from the group consisting of substituted aryl and substituted heteroaryl, wherein the aryl and heteroaryl are selected from the group consisting of: cough Base, η than succinyl, phenyl, oxime, ^ 嗓 、, mouth bite, ° azine base, "ratio. Sodium, imidazolyl, triazolyl, indolyl, oxadiazolyl, di-saltyl, quinolyl, isoquinolyl, isoxazolyl, oxazolyl, thiazolyl and anthranyl. In some aspects, the above group may be one or two selected from the group consisting of a functional group, an alkoxy group, an alkyl group, an amine group, an alkylamino group, a functional alkyl group, and a halogenated alkoxy group. Substituent substitution. In certain embodiments, the ruler 62 is selected from the group consisting of: (2-hydroxy-ethylamino)-°-but-2-yl, 1 Η-° ratio. -4-yl, 1-methyl-1Η-"比嗤_4_ base, 1-mercapto-1Η-» ratio" sit-4-yl, 2-(5-methyl ratio bite-2- Phenyl, 2,3-difluoro-phenyl, 2,3-dimethoxy-phenyl, 2,4-difluoro-phenyl, 2,4-dimethoxy-phenyl, 2,4-dimethoxy-pyrimidin-5-yl, 2,5-difluoro-phenyl, 2,6-difluoro-styl, 2,6-diinyl than -3-yl, 2 -Ethylaminophenyl, 2-aminophenylphenyl, 2-amino-[3⁄4]-5-yl, 2-air-4-decyloxy- ♦Bite-5-yl, 2-chloro -5-gas-D ratio bit-3-yl, 2- gas-phenyl, 2- gas-purine-3-yl, 2-gas-pyridin-4-yl, 2-difluoro-3-methoxy Phenyl, 2-ethyl-phenyl, 2-ethoxy-°°-4-yl, 2-ox-3-methoxy-phenyl, 2-ox-3-methylphenyl , 2-fluoro-4-methyl-phenyl, 2-fluoro-5-decyloxy-phenyl, 2-fluoro-5-nonylphenyl, 2-fluorophenyl, 2-fluorobipyridine-3- , 2-hydroxymethyl-3-methoxyphenyl, 2-hydroxymethylphenyl, 2-isoquinolin-4-yl, 2-decyloxy-5-trifluoromethyl-phenyl, 2-methoxy-phenyl, 2-methoxy-D-pyridyl-3-yl, 2-methoxy-pyrimidin-4-yl, 2-decyloxy-thiazol-4-yl, 2-methyl -phenyl, 2-methyl -pyridine-3-yl, 2-oxo-1,2-dihydro-pyridin-3-yl, 2-phenoxy 144363.doc -47- 201032806 Phenyl, 2-pyrid-3-yl, 2 -pyrimidin-5-yl, 2-trifluoromethoxyphenyl, 2-trifluoromethoxy-phenyl, 3,4-dimethoxy-phenyl, 3,5-dimethyl-isoan Squatting -4 -yl, 3,6-dimethyl-° ratio, Qin-2-yl, 3-ethylaminophenyl, 3-aminocarbylphenyl, 3 -> odor-phenyl , 3 -milk-σ than 嗓-2-yl, 3-disorganylphenyl, 3·dimethylaminophenyl, 3-ethoxy-phenyl, 3-ethyl-4-indenyl-benzene Base, 3-ethylidene-phenyl, 3- gas-6-methoxy-° ratio. Dec-2-yl, 3-oxophenyl, 3-fluoro-pyridazin-2-yl, 3-decanesulfonylaminophenyl, 3-methoxycarbonylphenyl, 3-decyloxyphenyl , 3-decyloxypyrazine-2-yl, 3-methyl-3-indole-imidazo[4,5-b]pyrazin-5-yl, 3-nonylphenyl, 3-methyl-pyridine- 2-Based, 3-trifluorodecyloxyphenyl, 3-trifluorodecylphenyl, 4,5-dimethoxyoxy-pyrimidin-2-yl, 4-amino-5-gas-tight sigma- 2-Based, 4-Gas-2,5-dimethyllacyl-phenyl, 4-Ga-2-on-phenyl, 4-Gas-2-methoxy-5-methyl-phenyl, 4 - gas-° ratio bite - 3-yl, 4-dioxa-2-methyl-phenyl, 4-ethyllacyl-5-gas·napon-2-yl, 4-ethoxy-pyrimidine-2 -yl, 4-ethoxy-pyrimidin-5-yl, 4-ethyl-1 fluorene-pyrazol-3-yl, 4-fluoro-2-indolyl-phenyl, 4-ox-2-yl -phenyl, 4-oxophenyl, 4-methoxy-5-methyl-pyrimidin-2-yl, 4-methoxy-pyridin-3-yl, 4-decyloxy-pyrimidin-2-yl 4-methoxy-pyrimidin-5-yl, 4-methyl-phenyl, 4·fluorenyl-° than 2-hydroxy-2-yl, 4-methyl-σΐΐί- 3 -yl, 4 -loxidine -1 -yl-manganese-2 -yl, 5,6 -dimethoxy-^,2 -yl, 5-ethoxyphenyl-dexoster-2-yl, 5-amino-6 Oxy-17 is more than 2-yl, 5-amino-6-methoxy-3-methyl-° ratio Qin-2 _ group, 5-amino-6-methyllacyl-D ratio -2-yl, 5-lactic-4-methoxy-precipitate-2-yl, 5-chloro-6-decyloxypyridin-2-yl, 5-dimethylamino-6-methoxy -2--2-yl, 5-a-2-nonyloxyphenyl, 5-a-4-pyridyloxy-°3⁄4唆-2-yl, 5-fluoro-6-methoxy-pyridazine- 2-yl, 5-fluoro-acridin-2-yl, 5-methoxy-pyridyl 144363.doc -48- 201032806 -3--3-yl, 5-methoxy-porphinyl-2-yl, 5_ Trifluoromethyl-mouth 々··,6 醯 比 咬 咬 I, 6 1 嗪 嗪 6 6 6 6 6 6 乙 乙 乙 乙 乙 乙 乙 乙 乙 乙, heart fluorine-pyridine-2-yl, 6-fluoro-〇 also ★ 3, 6-hydroxypyridin-2-yl, 6-methoxy-5-methylamino-pyrazine, h-based, 6 ·Methoxy-5-methylpyrazine-2-yl, 6-methoxyl oxime-2-yl, phenylmethylpyridin-2-yl, 6-methoxy-pyridine-3-yl , 6-methylamino-pyrazine <yl, 6-methyl" is more than 2-amino, 5-amino, 2,2,2, triethoxyethoxy 2, and 6 -Trifluoromethyl-pyridin-2-yl. The compound of the present invention comprises: a preferred Hsp9 oxime inhibitor for use in the first component () 2-amino-7-[2-(2-l-n-bipyridyl-3-yl)phenyl]·4 methyl & Dihydro-6Η-pyrido[4,3_d]pyrimidin-5one oxime, —Amino-6·] _7_“4 & Field hamster 2'2-fluoropyridin-3-yl) -phenyl]_4· -7,8-dihydro-6Η_pyrido[43d]pyrimidin-5one; Amino-7·[4-Gas _ > -Fluorum ratio _3_ base) - stupid base]-4-methyl_,-monooxy-6Η-pyrido[4,3_d]pyrimidine_5__ ; (Hhenylamino-7(2_ 淳-4- ϋ ^ (... Amino-Homesick) ^ 7〇_ . 1 Rolling base _° than pyridine 2_ kib stupid base] -4- 曱 beautiful, one oxygen 1 〇 than bite and [4, 3 brother bite 5-ketone; soil (R) ~ 2-Amino-7-[4-fluoro-2-(6-indole A7R^milyl ratio _2~yl)-phenyl]-4-methyl,8.dihydro-6H" And [4,3-bite _5-ketone; 2_amino-7-[4-fluoro-2-(6-methyl-yl-78-oxy-.pyridin-2-yl)' stupyl -4,6-diindole, 8--indole-6H-pyrido[4,3-d]pyrimidin-5-one; 144363.doc -49. 201032806 2 -amino-7-[4-fluoro-2- (2-Oxo-0-indol-3-yl)-phenyl]-4,6-dimethyl-7,8-dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amine -7-[4-fluoro-2-(6-methoxy)pyridin-2-yl)phenyl]-4-methyl-7,8-dihydro D ratio bite [4,3-(1 Mouth. Ding-5(6H)-one; 2-amino-7-[2-(6-methoxy-0-pyridin-2-yl)-phenyl]-4-methyl-7,8 -Dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; (R)-2-Amino-7-[4- disorder- 2- (6-methoxy-D vs. 0 Qin -2-yl)-benzyl]-4-mercapto-7,8-dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino--7- [4-disorder -2-(6-decyloxy-0-purin-2-yl)-phenyl]-4,6-dimercapto-7,8-dihydro-6-pyridyl[4,3-(1 Pyrimidine-5-one; 2-amino-7-[2-(2-methoxy-0-buty-3-yl)-phenyl]-4-methyl-7,8-dihydro-6H -pyrido[4,3-d]pyrimidin-5-one; 2-amino-7-(5,2^ di-biphenyl-2-yl)-4-methyl-7,8-diaza -pyrido[4,3-d]pyrimidin-5-one; 2-amino- 7-(5-gas-21-trisethoxy-biphenyl-2-yl)-4-methyl-7 , 8-dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino-7-[2-(2-gas-1? ratio -3-yl)-4- Gas-phenyl]-4-methyl-7,8-dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino--7- [4-morpho-2-( 6-gas-D ratio -3-yl)-phenyl]-4-methyl-7,8-dihydro-6Η-η ratio bite [4,3-d] Bite 5-ketone; 2-amino-7-(4-dis-2-ylindole-4-yl-phenyl)-4-indolyl-7,8-ifeng-6H-pyridyl[4 , 3-d]pyrimidin-5-one; 2-amino-7-(5,3l-disorder-biphenyl-2-yl)-4-mercapto-7,8-dipho-6H-0 ratio Bite and [4,3-d]°Bite-5-ketone; 144363.doc -50- 201032806 2-Amino- 7- [2-(4-milk-n ratio -3-yl)-4- Murine-phenyl]-4-methyl-7,8-dihydro-6Η-Π ratio bite [4,3-d] mouth bite 5-ketone; 2-amino group-7- (5,2· - Digas-3^methoxy-biphenyl-2-yl)-4-methyl-7,8-dihydro-6H-aitD deutero[4,3-d]°^. 5-amino-1-(5,4L difluoroi-2'-mercapto-biphenyl-2-yl)-4-methyl-7,8-dihydro-6Η-β More than bite [4,3-d] bite 5-ketone; 2-amino-7-(5-gas-21-methoxy-biphenyl-2-yl)-4-mercapto-7 8-Dinitrogen 611-11 is more than '1' [4,3-(1] mouth bite-5-one; 2-amino group - 7- (4- gas-2 - mouth °--5-yl- Phenyl)-4-methyl-7,8-diaza-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino-7-[4-fluoro-2-(2-曱oxypyridin-3-yl)-phenyl]-4-mercapto-7.8-dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino--7- ( 5- gas-3'-methoxy-biphenyl-2-yl)-4-methyl-7,8-diaza-6Η-ΠΛ bite [4,3-(1]°3⁄4 bite-5- _ ; (R) _ 2 -amino- 6-(3-amino-propyl)-7-[4-gas-2-(6-methoxy-Dtb ate-2-yl)-phenyl] 4-methyl-7,8-dihydro-6H-.pyrido[4,3-d]pyrimidin-5-one; 2-amino-7-(4- gas-2-σ ratio bite- 3-yl-phenyl)-4-methyl-7,8-diazo-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino-7-(5,2'-di Fluoro-4·-methyl-biphenyl-2-yl)-4-mercapto-7,8-dihydro-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino group- 7- [4 - chaotic-2-(1-methyl-1Η-n ratio β sit-4-yl)-phenyl ]-4 -mercapto·7.8-dihydro-6Η-pyrido[4,3-d]pyrimidin-5-one; 2-amino-7-[4-fluoro-2-(111-°-by-azole- 4-yl)-phenyl]-4-methyl-7,8-di 144363.doc -51 - 201032806 Hydrogen-6H-pyrido[4,3-d]pyrimidin-5-one; 2-amino group- 4-methyl-7-(5,2,3'-trifluoro-biphenyl-2-yl)indole-8_dihydro-6h_pyrido[4,3-d]pyrimidin-5-one; 2- Amino-7-(2-di-4-oxo-phenyl)-4.methyl-6-(2-methyl-2-bromoline-4-yl-propyl)-7,8-dihydro-6H -11 than bite [4,3-d], ^_5_g^ 2-amino-7-(3'-dimethylamino-5-a-biphenyl-2-yl), 'methyl_7 , 8_ dihydro-6Η-» than bite [4,3-ci] pyridine-5-one; 2_amino group _:·[2·(2 wood dimethoxy _ money _5 base) 4. Fluoro-phenyl]_4 methyl-7,8-dihydro-6Η-pyrido[4,3-d]pyrimidin-5-one; 2_amino group_7_[4_fluoro_2_(5_ Methoxy n3_yl), stupidylmethyl-7,8-dihydro-6H-tonido[4,3-d]pyrimidin-5-one; 2-amino-7-(4-fluoropterin _5 Prepare phenyl)·4_methylmercapto-winter 4-leaf propyl)_7,8_dihydro_6Η-° than bite [4,3-d] squirting; 2-amino-7- [4ϋ(2·methoxyl-bite-3_yl)_stupyl]*_methyl winter (2-methyl: 2-Morline-4 winter propyl), 8_ dinitrogen collar, he Bite-5-嗣, 2-amino-o-fluoro_3,_methoxy, phenyl-2-yl)_4 2-morpholin-4-yl-propan, 〇* 1 Τ ^土)_7, 8_二虱-6Η-pyrido[4,3-d]pyrimidin-5-one; (R)-2-aminofluoro__(_methoxy-5-mercaptopurine __2_彳策基]_4-曱基-7 8-- & 疋2 base) Ben, ~虱-6Η-° than bite [4,3-d]. Midine-5-one; 2-amino-7-(4-Gu 1 + + , «比四Γ43(1) phenyl)-4-methyl-7,8-dihydro-6H_ 疋[4,3 -d], pyridine, 5 ketone and its stereoisomers <1*^, tautomers and pharmaceutically acceptable salts or prodrugs 0 144363.doc •52· 201032806 The above Hsp90 inhibitors (I) Examples of the compounds and methods of making the same are disclosed in U.S. Patent Application Publication No. 2007-0123546 A1, the entire disclosure of which is incorporated herein by reference. Other suitable Hsp90 inhibitors include the isoxazole derivatives of formula (D) and their domain isomers as well as salts, solvates and hydrates thereof, and prodrugs thereof
(D) 其中每一 R獨立地表示可選取代基且r3表示羧醯胺基 團。 較佳地,本發明係關於由式(E)之彼等構成之化合物及(D) wherein each R independently represents an optional substituent and r3 represents a carboxyguanamine group. Preferably, the present invention relates to compounds consisting of the formula (E) and
其區域異構體以及其鹽、溶劑合物及水合物、及其前藥的 用途:The use of its regioisomers and their salts, solvates and hydrates, and their prodrugs:
(E) 其中R3表示叛酿胺基團(例如,乙基胺基羰基 CH3CH2NHC(=0)-或異丙基胺基羰基(CH3)2CHNHC(=〇)_); R·9表示-CH2NR10Rn或_Nrior",其中該經取代胺基_ NR R係助溶基團(例如,嗎啾基、六氫吼啶基、哌嗪 144363.doc -53- 201032806 基、°比咯啶基、乙基胺基、異丙基胺基、二乙基胺基、環 己基胺基、環戊基胺基、甲氧基乙基胺基、六氫D比啶_4_ 基、N·乙醯基哌嗪基、N-甲基哌嗪基、甲基磺醢基胺基、 硫嗎啉基、硫嗎啉基-二氧化物、4-羥基乙基六氫吡啶基、 及4-羥基六氫„比啶基);且Rs表示可選取代基,尤其是較小 親脂性基團(例如,乙基、異丙基、溴或氣)。 在本發明之此等5-經取代2,4-二羥基苯基化合物中,可 藉由在體内解離以釋放羥基之基團來保護羥基。可解離產 生羥基之此類已知前藥型基團包括烷基羰基氧基(例如, 曱基隸基氧基)及烧基胺基幾基氧基(例如,二燒基胺基_或 異丙基胺基-幾基氧基)。 本發明所涉及具體化合物尤其包括下列及其鹽、N_氧化 物、水合物及溶劑合物、及其前藥: 5-(2,4-二羥基-5-異丙基-苯基)-4-(4-嗎琳-4-基甲基-苯 基)-異°惡°坐-3-曱酸乙酿胺 5-(2,4-一經基_5_異丙基-苯基)_4-(4-六氫》比咬-1-基甲基_ 苯基)-異噁唑-3-甲酸乙醯胺 4- (4-二乙基胺基曱基-苯基)_5_(2,4_二羥基_5_異丙基-苯 基)-異噁唑-3-曱酸乙醯胺 5- (2,4-一經基_5-異丙基_苯基)_4_[4-(4-曱基-β底嗓基甲 基)-苯基]-異噁唑-3 -甲酸乙醯胺 5-(2,4-二羥基_5_異丙基-苯基)_4_(4_乙基胺基曱基-苯 基)-異噁唑-3-甲酸乙醯胺 5 (2,4 一經基-5-異丙基-本基)-4-[4-(異丙基胺基-甲基)_ 144363.doc -54- 201032806 苯基]-異噁唑-3-曱酸乙醯胺 4-(4-環己基胺基甲基·苯基)-5-(2,4-二羥基-5-異丙基-苯 基)-異噁唑-3-甲酸乙醯胺 4- [4-(第三丁基胺基-曱基)-苯基]-5-(2,4-二羥基_5_異丙 • 基-苯基)-異噁唑-3-甲酸乙醯胺 • 5-(2,4-二羥基-5-異丙基-苯基)-4-{4-[(2-曱氧基-乙基胺 基)-甲基]-苯基卜異噁唑-3-曱酸乙醯胺 5- (2,4-二羥基-5-異丙基-苯基)-4-(4-嗎啉-4-基甲基-苯 φ 基)-異噁唑-3-甲酸異丙基醯胺 5-(2,4-二羥基-5-異丙基-苯基)-4-[4-(4-甲基-哌嗪-1-基甲 基)-苯基]-異噁唑_3·曱酸異丙基醯胺 5-(5-第三丁基-2,4-二羥基-苯基)-4-[4-(4-甲基-哌嗪-1-基 曱基)-苯基]-異噁唑-3·甲酸乙醯胺 5-(5-第三丁基-2,4_二羥基-苯基)-4-(4-六氫吡啶-1-基甲 基-苯基)-異噁唑-3-甲酸乙醯胺 5-(2,4-二羥基-5-異丁基-苯基)-4-(4-嗎啉-4-基甲基-苯 粵基)-異。惡嗤小甲酸乙醯胺 5-(2,4-二羥基-5-異丁基-苯基)-4-(4-六氫吡啶-1-基曱基-苯基異噁唑-3-甲酸乙醯胺 5-(5-第三丁基-2,4-二羥基-苯基)-4-(4-嗎啉-4-基甲基-苯 基)-異噁唑-3-甲酸乙醯胺 5-(5-第三丁基_2,4_二羥基-苯基)-4-(4-二乙基胺基甲基-苯基)-異噁唑_3·甲酸乙醯胺 3-(5-氯-2,4-二羥基-苯基)-4-(4-嗎啉-4-基甲基-苯基)-異 144363.doc •55· 201032806 噁唑-5-甲酸乙醯胺 4-(4-二乙基胺基曱基-苯基)-5-(4,6-二經基-2' -曱基-聯苯 基-3-基)-異噁唑-3-曱酸乙醯胺 4-(4-二乙基胺基曱基-苯基)-5-(4'-氣-4,6-二經基-聯苯 基-3-基)-異噁唑-3-曱酸乙醯胺 4- (4-二乙基胺基甲基-苯基)-5-(4,6-二輕基-聯苯基-3-基)-異噁唑-3-甲酸乙醯胺 5- (2’ -氣-4,6 -二經基-聯苯基-3-基)-4-(4- 0比洛咬-1 -基甲 基-苯基)-異噁唑-3-甲酸乙醯胺 5-(4,6-二羥基-聯苯基-3-基)-4-(4-嗎啉-4-基曱基-苯基)-異噁唑-3-曱酸乙醯胺 5-(2,4-二經基-5-苯乙基-苯基)-4-(4-嗎啦· -4-基曱基-苯 基)-異噁唑-3-曱酸乙醯胺 5-(5-氣-2,4-二輕基-苯基)-4-(4 -六風1 β比σ定-1 -基曱基-苯 基)-異噁唑-3-曱酸異丙基醯胺 4- (4-二乙基胺基甲基-苯基)-5-(5 -乙基-2,4 -二經基-苯 基)-異噁唑-3-甲酸乙醯胺 5- (5-乙基-2,4-二輕基-苯基)-4-[4-(4-甲基-旅°秦-1 -基曱 基)-苯基]-異噁唑-3-甲酸乙醯胺 5-(5-乙基-2,4-二羥基-苯基)-4-(4-嗎啉-4-基甲基-苯基)-異°惡°坐-3 -曱酸乙醯胺 5-(5-氣-2,4-二羥基-苯基)-4-(4-二乙基胺基甲基-苯基)-異噁唑-3-曱酸乙醯胺 5-(5 -氣-2,4-二赵基-苯基)-4-[4-(4-曱基-娘°秦-1-基曱基)_ 144363.doc -56- 201032806 苯基]-異噁唑-3-曱酸乙醢胺 5-(5-氣-2,4-二羥基-苯基)-4-(4-嗎啉-4-基甲基-苯基)-異 噁唑-3-甲酸乙醯胺 屬於式(D)或式(E)範圍内之化合物及其製造方法揭示於 '在2004年8月26日公開之WO 04/072051中,該案件在此以 •引用方式併入本申請案中。一種較佳化合物係5-(2,4-二羥 基-5-異丙基-苯基)-4-(4-嗎啉-4-基甲基-苯基)-異噁唑-3-甲 酸乙醯胺。 ® 適宜mTOR抑制劑包括(例如): I. 雷帕黴素’其係由吸水鏈黴菌(Sirepiomycei 產生之免疫抑制劑内醯胺大環内脂 II. 雷帕黴素衍生物,例如: a·經取代之雷帕黴素’例如,4〇_〇_經取代之雷帕黴 素’例如’如在 US 5,258,389、WO 94/09010、WO 92/(E) wherein R3 represents an apodamine group (for example, ethylaminocarbonylCH3CH2NHC(=0)- or isopropylaminocarbonyl(CH3)2CHNHC(=〇)_); R·9 represents -CH2NR10Rn or _Nrior", wherein the substituted amine group NRR is a solubilizing group (e.g., fluorenyl, hexahydroacridinyl, piperazine 144363.doc-53-201032806, p-pyridyl, ethyl Amino, isopropylamino, diethylamino, cyclohexylamino, cyclopentylamino, methoxyethylamino, hexahydro-D-pyridyl-4, yl-N-ethinylpiperazine , N-methylpiperazinyl, methylsulfonylamino, thiomorpholinyl, thiomorpholinyl-dioxide, 4-hydroxyethylhexahydropyridyl, and 4-hydroxyhexahydro- And the Rs represents an optional substituent, especially a less lipophilic group (for example, ethyl, isopropyl, bromo or a gas). In the present invention, such a 5-substituted 2,4-di In a hydroxyphenyl compound, the hydroxyl group can be protected by a group which dissociates in the body to release a hydroxyl group. Such known prodrug-type groups which can be dissociated to produce a hydroxyl group include an alkylcarbonyloxy group (for example, a mercapto group) Oxy) and alkylaminooxy (e.g., dialkylamino- or isopropylamino-monooxy). Specific compounds to which the present invention relates include, in particular, the following salts, N-oxides, hydrates and solvates, and Drug: 5-(2,4-dihydroxy-5-isopropyl-phenyl)-4-(4-morphin-4-ylmethyl-phenyl)-iso- oxa Ethylamine 5-(2,4-mono-based-5-isopropyl-phenyl)_4-(4-hexahydro) butyl-1-ylmethyl-phenyl)-isoxazole-3-carboxylic acid Acetamide 4-(4-diethylaminomercapto-phenyl)-5-(2,4-dihydroxy-5-isopropyl-phenyl)-isoxazole-3-decanoic acid acetamidine 5 - (2,4-mono-based 5-5-isopropyl-phenyl)_4_[4-(4-indolyl-β-decylmethyl)-phenyl]-isoxazole-3-formic acid acetamide 5-(2,4-dihydroxy-5-isopropyl-phenyl)_4_(4-ethylaminoindenyl-phenyl)-isoxazole-3-carboxylic acid acetamide 5 (2,4 once 5-[4-isopropyl-benzyl]-4-[4-(isopropylamino-methyl)_144363.doc -54- 201032806 Phenyl]-isoxazole-3-decanoate 4-(4-Cyclohexylaminomethylphenyl)-5-(2,4-dihydroxy-5-isopropyl-phenyl)-isoxazole-3-carboxylic acid ethylamine 4- [4 -(Tertiary butylamino-fluorenyl -phenyl]-5-(2,4-dihydroxy-5-isopropyl-phenyl-phenyl)-isoxazole-3-carboxylic acid acetaminophen • 5-(2,4-dihydroxy-5-iso Propyl-phenyl)-4-{4-[(2-decyloxy-ethylamino)-methyl]-phenylisoxazole-3-decanoate 5-(2,4 -dihydroxy-5-isopropyl-phenyl)-4-(4-morpholin-4-ylmethyl-phenylφ)-isoxazole-3-carboxylic acid isopropyl decylamine 5-(2, 4-Dihydroxy-5-isopropyl-phenyl)-4-[4-(4-methyl-piperazin-1-ylmethyl)-phenyl]-isoxazole_3·isopropyl isopropylate 5-decylamine 5-(5-tert-butyl-2,4-dihydroxy-phenyl)-4-[4-(4-methyl-piperazin-1-ylindenyl)-phenyl]-iso Oxazole-3·acetate formate 5-(5-t-butyl-2,4-dihydroxy-phenyl)-4-(4-hexahydropyridin-1-ylmethyl-phenyl)-iso Oxazole-3-carboxyacetamide 5-(2,4-dihydroxy-5-isobutyl-phenyl)-4-(4-morpholin-4-ylmethyl-phenylphenanyl)-iso. Ethylene acetamide formate 5-(2,4-dihydroxy-5-isobutyl-phenyl)-4-(4-hexahydropyridin-1-ylindenyl-phenylisoxazol-3- Ethyl formate 5-(5-tert-butyl-2,4-dihydroxy-phenyl)-4-(4-morpholin-4-ylmethyl-phenyl)-isoxazole-3-carboxylic acid Acetamide 5-(5-tert-butyl-2,4-dihydroxy-phenyl)-4-(4-diethylaminomethyl-phenyl)-isoxazole_3·formic acid acetamidine Amine 3-(5-chloro-2,4-dihydroxy-phenyl)-4-(4-morpholin-4-ylmethyl-phenyl)-iso 144363.doc •55· 201032806 Oxazole-5- Ethyl formate 4-(4-diethylaminomercapto-phenyl)-5-(4,6-di-based-2'-indolyl-biphenyl-3-yl)-isoxazole 4-(4-diethylaminomercapto-phenyl)-5-(4'-gas-4,6-di-trans-phenyl-3-yl)- Isoxazole-3-decanoate 4-(4-diethylaminomethyl-phenyl)-5-(4,6-dilight-biphenyl-3-yl)-isoxan Oxazol-3-formic acid acetamide 5-(2'-gas-4,6-di-trans-phenyl-3-yl)-4-(4- 0 piroxime-1 -ylmethyl-benzene -isoxazole-3-carboxylic acid acetamide 5-(4,6-dihydroxy-biphenyl-3-yl)-4-(4-morpholin-4-ylindenyl-phenyl)- Isoxazole-3-furoate B Indoleamine 5-(2,4-diyl-5-phenethyl-phenyl)-4-(4-oxaz-4-ylmercapto-phenyl)-isoxazole-3-decanoic acid Acetamide 5-(5-gas-2,4-diheptyl-phenyl)-4-(4-hexa-1βpyridine-1 -ylmercapto-phenyl)-isoxazole-3 - Isopropylamine decanoate 4-(4-diethylaminomethyl-phenyl)-5-(5-ethyl-2,4-di-phenyl-phenyl)-isoxazole-3 - acetamidine formate 5-(5-ethyl-2,4-diheptyl-phenyl)-4-[4-(4-methyl-branches-methyl-1 -ylindolyl)-phenyl] -isoxazole-3-formic acid acetamide 5-(5-ethyl-2,4-dihydroxy-phenyl)-4-(4-morpholin-4-ylmethyl-phenyl)-iso ° ° sit-3 - acetoacetate 5-(5-gas-2,4-dihydroxy-phenyl)-4-(4-diethylaminomethyl-phenyl)-isoxazole- 3-(5-gas-2,4-dizhao-phenyl)-4-[4-(4-indolyl-ninnyl-methyl-1-ylindenyl)- 144363. Doc -56- 201032806 Phenyl]-isoxazole-3-decanoate 5-(5-gas-2,4-dihydroxy-phenyl)-4-(4-morpholin-4-yl) A compound of the formula (D) or the formula (E) and a process for producing the same are disclosed in WO 04/072051, published on Aug. 26, 2004. The case is hereby • incorporated by reference in the present application. A preferred compound is 5-(2,4-dihydroxy-5-isopropyl-phenyl)-4-(4-morpholin-4-ylmethyl-phenyl)-isoxazole-3-carboxylic acid Acetamide. ® Suitable mTOR inhibitors include, for example: I. Rapamycin' is derived from Streptomyces hygroscopicus (the immunosuppressant produced by Sirepiomycei), the indoleamine macrolide II. Rapamycin derivatives, for example: a· Substituted rapamycin 'e.g., 4 〇 〇 经 substituted rapamycin 'e.g. as in US 5,258,389, WO 94/09010, WO 92/
05179、US 5,1 18,677、US 5,1 18,678、US 5,100,883、US φ 5>151>413 ' US 5,120,842 ' WO 93/1 1130 ' WO 94/02136 ' WO 94/02485及WO 95/14023中所述者’所有該等案件均 以引用方式併入本文中; b· 16-0-經取代之雷帕黴素,例如,在w〇 94/〇2136、 . W〇 95/16691及WO 96/41807中所揭示者,該等案件之内 容均以引用方式併入本文中; c. 32-氫化雷帕黴素’例如’在以引用方式併入本文中 之WO 96/418〇7及美國專利us 5,256,79〇中所述者。 144363.doc •57· 201032806 d.較佳雷帕黴素衍生物係式r化合物05179, US 5,1 18,677, US 5,1 18,678, US 5,100,883, US φ 5 > 151 > 413 ' US 5,120,842 'WO 93/1 1130 'WO 94/02136 'WO 94/02485 and WO 95/14023 All of these cases are incorporated herein by reference; b. 16-0-substituted rapamycin, for example, at w〇94/〇2136, .W〇95/16691 and WO 96/ The contents of such cases are incorporated herein by reference in their entirety by reference to the entire disclosure of the disclosure of the entire disclosure of the disclosure of the disclosure of the disclosure of the disclosure of the disclosure of the entire disclosure of Us 5,256,79〇. 144363.doc •57· 201032806 d. Preferred rapamycin derivative system
Ri係CH3或C3_6炔基, R2係Η或-CH2-CH2-〇H、3-羥基-2-(經基甲基)_2_甲基_丙 醯基或四唑基且X係=0、(H,H)或(H,OH) 限制條件為當X係=〇且R〗係CHS時,r2不為Η, 或其前藥’當R2係-CHrCH^OH時,例如,其生理上可 水解之醚。 式1'化合物揭示於(例如)WO 94/09010、WO 95/16691或 WO 96/41807中,該等案件均以引用方式併入本文中。此 等化合物可按照所揭示或以與在此等參考文獻中所述程序 相似的方式製備。 較佳mTOR抑制劑化合物係32·脫氧雷帕黴素、16_戊_2_ 炔基氧基-32-脫氧雷帕黴素、16_戊-2-炔基氧基-32(S)-二 氫-雷帕黴素、16-戊·2·炔基氧基-32(S)-二氫-40-0-(2-羥基 乙基)-雷帕黴素且更佳地,為40_〇_(2-羥基乙基)·雷帕黴 素’如在WO 94/09010之實例8中所揭示。 144363.doc -58- 201032806 尤佳式Γ之雷帕黴素衍生物係40-0-(2-羥基乙基)-雷帕黴 素、40-[3-羥基-2-(羥基甲基)-2-曱基丙酸酯]_雷帕黴素(亦 稱作CCI779)、40-表-(四唑基)-雷帕黴素(亦稱作 ABT578)、32-脫氧雷帕黴素、16-戊-2-炔基氧基-32(S)-二 - 氫雷帕黴素、或TAFA-93。 e.雷帕黴素衍生物亦包括所謂的雷帕黴素類似物 (rapalog),例如,如在 WO 98/02441 及WO 01/14387 中所揭 示者,例如,AP23573、AP23464 或 AP23841。 φ 基於所觀察到活性(例如,與巨菲蛋白-12 (亦稱作FK- 506結合蛋白或FKBP-12)結合,例如,如在WO 94/ 09010、WO 95/16691 或 WO 96/41 8 07 中所述),發現雷帕黴 素及其衍生物可在(例如)治療急性同種異體移植排斥中用 作(例如)免疫抑制劑。 本發明提供 一種醫藥組合物,其包含: a)式(E)化合物Ri is CH3 or C3_6 alkynyl, R2 is hydrazine or -CH2-CH2-〇H, 3-hydroxy-2-(radiomethyl)_2-methyl-propenyl or tetrazolyl and X is =0, (H, H) or (H, OH) is restricted when X is = 〇 and R is CHS, r2 is not Η, or its prodrug 'when R2 is -CHrCH^OH, for example, physiologically Hydrolyzable ether. Compounds of formula 1 ' are disclosed, for example, in WO 94/09010, WO 95/16691 or WO 96/41807, each of which is incorporated herein by reference. Such compounds can be prepared in a manner similar to that disclosed or similar to those described in the references herein. Preferred mTOR inhibitor compounds are 32. deoxyrapamycin, 16_pent-2-ynyloxy-32-deoxyrapamycin, 16-pent-2-ynyloxy-32(S)-di Hydrogen-rapamycin, 16-pental-2-alkynyloxy-32(S)-dihydro-40-0-(2-hydroxyethyl)-rapamycin and more preferably, 40_ Indole (2-hydroxyethyl) rapamycin 'is disclosed in Example 8 of WO 94/09010. 144363.doc -58- 201032806 The rapamycin derivative of the genus 40 40 is 40-0-(2-hydroxyethyl)-rapamycin, 40-[3-hydroxy-2-(hydroxymethyl) -2-mercaptopropionate] rapamycin (also known as CCI779), 40-epi-(tetrazolyl)-rapamycin (also known as ABT578), 32-deoxyrapamycin, 16-pent-2-ynyloxy-32(S)-di-hydrorapamycin, or TAFA-93. e. The rapamycin derivative also includes the so-called rapalog analogs, for example, as disclosed in WO 98/02441 and WO 01/14387, for example, AP23573, AP23464 or AP23841. φ is based on the observed activity (for example, in combination with megalin protein-12 (also known as FK-506 binding protein or FKBP-12), for example, as in WO 94/09010, WO 95/16691 or WO 96/41 8 As described in 07), rapamycin and its derivatives have been found to be useful, for example, as immunosuppressants in the treatment of acute allograft rejection, for example. The present invention provides a pharmaceutical composition comprising: a) a compound of formula (E)
其中 R3係選自乙基胺基羰基CH3CH2NHC(=0)-或異丙基胺基 羰基(ch3)2chnhc(=o)-), R8係選自乙基、異丙基、溴、或氯;且 144363.doc -59· 201032806 r9係選自嗎琳基、六氫°比咬基、底唤基、°比哈咬基、乙 基胺基、異丙基胺基、二乙基胺基、環己基胺基、環戊基 胺基、甲氧基乙基胺基、六氫。比咬-4-基、Ν-乙酿基η底唤 基、Ν-曱基哌嗪基、曱基磺醯基胺基、硫嗎啉基、硫嗎啉 基-二氧化物、4-經基乙基六氫吼唆基或4-經基六氫比唆 基;及 b)至少一種mTOR抑制劑 式(E)化合物可為Hsp90抑制劑。 式(E)化合物可為5-(2,4-二羥基_5_異丙基-苯基)-4-(4-嗎 啉-4-基曱基-笨基)-異噁唑_3_曱酸乙醯胺。 在另一態樣中,本發明提供式化合物或5_(2 4_二羥 基-5-異丙基-苯基)·4-(4-嗎啉_4-基曱基-苯基)-異噁唑-3-甲 酸乙醯胺及至少一種mT0R抑制劑之用途,其用於製造用 於治療或預防增生性疾病之藥物。 在又一態樣中,本發明提供一種式化合物或5_(2,4_二 羥基-5-異丙基·苯基嗎啉_4_基甲基_苯基)異噁唑_3_ 甲酸乙醯胺及至少一種mT〇R抑制劑,其用於治療或預防 增生性疾病。 在另一態樣中,本發明提供一種藉由投與式化合物 或5-(2,4-二羥基_5_異丙基_苯基)4 (4嗎啉_4_基甲基、笨 基)-異噁唑-3_甲酸乙醯胺及至少一種111丁〇11抑制劑來治療 或預防增生性疾病之方法。 按照本發明’所用mTOR抑制劑可選自RAD雷帕黴素(西 羅莫司)及其衍生物/類似物,例如,依維莫司或; 144363.doc 201032806 CCI-779、ABT578、SAR543、子囊黴素(FK506之乙基類 似物)、AP23573、AP23841、AZD08055 及 OSI027 ° 本發 明之尤佳mTOR抑制劑係西羅莫司及/或依維莫司。 ΙΠ.子囊黴素,其係FK506之乙基類似物。 在其中上文給出各專利申請案之引文之每一情形中,與 . 該等化合物有關之標的物在此以引用方式併入本申請案 中。同樣包含其中所揭示其醫藥上可接受之鹽、對應外消 旋異構體、非對映同分異構體、對映異構體、互變異構體 • 以及上文所揭示化合物之對應晶體變體(當存在時),例 如,溶劑合物、水合物及多晶型物。可分別按照在所引用 文件中所述來製備及投與在本發明之組合中用作活性成份 之化合物。兩種以上如上文所述獨立活性成份之組合亦屬 於本發明之範圍,即,在本發明範圍内之醫藥組合可包括 三種或更多種活性成份。 在各實施例中,按照本發明所用mTOR抑制劑可選自 RAD雷帕黴素(西羅莫司)及其衍生物/類似物,例如,依維 _ 莫司或 RAD001 ; CCI-779、ABT578、SAR543、子囊黴素 (FK506 之乙基類似物)、AP23573 及 AP23841。 -術語「mTOR激酶依賴性疾病」包括但不限於下列症 .狀: •器官或組織移植排斥,例如,用於治療具有(例如)心 臟、肺、經組合之心臟-肺、肝臟、腎臟、胰臟、皮膚 或角膜移植之受者;移植物抗宿主疾病,例如,下列骨 髓移植; 144363.doc -61 - 201032806 •再狹窄症 錯構瘤症候群,例如,結節性硬化症或考登病(c〇wden Disease) # 淋巴管平滑肌增多症 色素性視網膜炎(Retinitis pigmentosis) 自體免疫性疾病’包括腦脊髓炎、 人厥島素依賴性糖尿 病、狼瘡、皮肌炎、關節炎及風濕性疾病 •類固醇抵抗型急性淋巴母細胞白血病 •纖維變性疾病’包括硬皮病、肺纖維化、腎纖維化、囊 性纖維化 •肺性高血壓 •免疫調節 •多發性硬化症 • VHL症候群 •卡奈綜合徵(Carney complex) •家族性大腸息肉症 •幼年性息肉病症候群 • Bir.t_Hogg-Duke症候群 •家族性肥大性心肌病 •伍爾夫-帕金森-懷特('^〇1£-?&41118〇11-呢'1146)症候群 •神經變性病症,例如,由tau突變造成的帕金森氏症 (Parkinson’s)、亨庭頓氏症(Huntingtin's)、阿兹海默氏 症(Alzheimer's)及癡呆症、3型脊聽小腦性共濟失調、由 SOD1突變造成的運動神經元疾病、蠟樣脂質貯積病/ 144363.doc •62· 201032806Wherein R3 is selected from the group consisting of ethylaminocarbonylCH3CH2NHC(=0)- or isopropylaminocarbonyl(ch3)2chnhc(=o)-), and R8 is selected from ethyl, isopropyl, bromo or chloro; And 144363.doc -59· 201032806 r9 is selected from the group consisting of linalyl, hexahydropyranyl, base, thiophene, ethylamino, isopropylamino, diethylamino, Cyclohexylamino, cyclopentylamino, methoxyethylamino, hexahydro.咬-4-yl, Ν-ethyl aryl base, fluorenyl-hydrazinopiperazinyl, fluorenylsulfonylamino, thiomorpholinyl, thiomorpholinyl-dioxide, 4- Alkyl hexahydroindenyl or 4-aminohexahydroindenyl; and b) at least one mTOR inhibitor. The compound of formula (E) may be an Hsp90 inhibitor. The compound of formula (E) may be 5-(2,4-dihydroxy-5-isopropyl-phenyl)-4-(4-morpholin-4-ylindenyl-phenyl)-isoxazole_3 _Acetylamine citrate. In another aspect, the invention provides a compound of formula or 5-(2 4 -dihydroxy-5-isopropyl-phenyl).4-(4-morpholin-4-ylindenyl-phenyl)-iso Use of oxazole-3-formate acetamide and at least one mTOR inhibitor for the manufacture of a medicament for the treatment or prevention of a proliferative disorder. In still another aspect, the present invention provides a compound of the formula or 5-(2,4-dihydroxy-5-isopropylphenylmorpholine-4-ylmethyl-phenyl)isoxazole_3_carboxylic acid Indoleamine and at least one mT〇R inhibitor for the treatment or prevention of proliferative diseases. In another aspect, the present invention provides a method of administering a compound of the formula or 5-(2,4-dihydroxy-5-isopropyl-phenyl)4 (4-morpholin-4-ylmethyl, stupid A method of treating or preventing a proliferative disease by using isoformazole-3-formic acid acetamide and at least one 111 guanidine 11 inhibitor. The mTOR inhibitor used in accordance with the present invention may be selected from RAD rapamycin (sirolimus) and its derivatives/analogs, for example, everolimus or; 144363.doc 201032806 CCI-779, ABT578, SAR543, Ascomycin (ethyl analog of FK506), AP23573, AP23841, AZD08055 and OSI027 ° The preferred mTOR inhibitor of the present invention is sirolimus and/or everolimus.子. Ascomycin, which is an ethyl analog of FK506. In each of the above-cited citations of the respective patent applications, the subject matter related to the compounds is hereby incorporated by reference. Also encompassing the pharmaceutically acceptable salts, corresponding racemic isomers, diastereomeric isomers, enantiomers, tautomers thereof, and the corresponding crystals of the compounds disclosed above disclosed therein Variants (when present), for example, solvates, hydrates, and polymorphs. Compounds useful as active ingredients in the combinations of the invention can be prepared and administered as described in the cited documents, respectively. Combinations of two or more independent active ingredients as described above are also within the scope of the invention, i.e., a pharmaceutical combination within the scope of the invention may comprise three or more active ingredients. In various embodiments, the mTOR inhibitor used in accordance with the invention may be selected from the group consisting of RAD rapamycin (sirolimus) and derivatives/analogs thereof, for example, vivam or RAD001; CCI-779, ABT578 , SAR543, ascomycin (ethyl analog of FK506), AP23573 and AP23841. - The term "mTOR kinase-dependent disease" includes, but is not limited to, the following symptoms: • Organ or tissue transplant rejection, for example, for treatment with, for example, heart, lung, combined heart-lung, liver, kidney, pancreas A recipient of a dirty, skin or corneal transplant; graft versus host disease, for example, the following bone marrow transplant; 144363.doc -61 - 201032806 • Restenosis syndrome, such as tuberous sclerosis or Cowden's disease (c 〇wden Disease) #Retinitis pigmentosis Autoimmune diseases include encephalomyelitis, human sputum-dependent diabetes, lupus, dermatomyositis, arthritis and rheumatic diseases Steroid-resistant acute lymphoblastic leukemia • Fibrotic diseases including scleroderma, pulmonary fibrosis, renal fibrosis, cystic fibrosis • Pulmonary hypertension • Immunomodulation • Multiple sclerosis • VHL syndrome • Cana synthesis Carney complex • Familial colorectal polyps • Juvenile polyposis syndrome • Bir.t_Hogg-Duke syndrome • Familial hypertrophy Myopathy • Woolf-Parkinson-White ('^〇1£-?&41118〇11-?'1146) Syndrome • Neurodegenerative disorders, for example, Parkinson's caused by tau mutation, Huntingtin's, Alzheimer's and dementia, type 3 spinal auditory cerebellar ataxia, motor neuron disease caused by SOD1 mutation, waxy lipid storage disease / 144363 .doc •62· 201032806
Batten疾病(兒童神經變性) •濕型及乾型黃斑變性Batten disease (children's neurodegeneration) • Wet and dry macular degeneration
•肌萎縮(萎縮,惡病)及肌病,例如,達農(Dan〇n)氏疾病 •細菌性及病毒性感染,包括結核分枝桿菌(M tuberculosis)、A組鏈球菌、I型 HSV、HIV感染 •神經纖維瘤病,包括1型神經纖維瘤病, • Peutz-Jeghers症候群• Muscular atrophy (atrophy, cachexia) and myopathy, for example, Dann's disease • Bacterial and viral infections, including M tuberculosis, Group A streptococci, Type I HSV , HIV infection • Neurofibromatosis, including neurofibromatosis type 1 , • Peutz-Jeghers syndrome
進而言之,「mTOR激酶依賴性疾病」包括癌症及其他 相關惡性腫瘤。與病理性mT0R信號傳導級聯相關之癌症 之非限制性列表包括乳癌、腎細胞癌瘤、胃腫瘤、神經内 分泌瘤、淋巴瘤及前列腺癌。 可用HSP90抑制劑與„1丁0尺或另—本發明醫藥劑之組合治 療的增生性疾病之實例係(例如)良心或惡性腫瘤、腦癌 瘤、腎臟癌瘤、肝臟癌瘤、腎上腺癌瘤、膀胱癌瘤、乳腺 癌瘤、腹部癌瘤、胃腫瘤癌冑、卵巢癌瘤、結腸癌瘤、直 腸癌瘤、前列腺癌瘤、胰腺癌瘤、肺癌瘤、陰道或甲狀腺 癌瘤、生殖泌尿區癌瘤、黑色素瘤、神經膠質廇、肉瘤、 膠質母細胞瘤、多發性骨髓瘤或胃腸癌,尤其是結腸癌瘤 或結腸直腸癌瘤或者頸部及頭部腫瘤、表皮增生過度、乾 癬、前列腺增生、贅瘤形忐、u I ι4_ 上皮特徵之贅瘤形成、神經 細胞瘤、淋巴瘤、乳腺癌瘤、或白血病。 具體而言,本發明組合物尤其適 乳腺腫瘤;表皮樣腫瘤,例如, 用於治療: 表皮樣頭部及/或頸Furthermore, "mTOR kinase-dependent diseases" include cancer and other related malignancies. A non-limiting list of cancers associated with the pathological mT0R signaling cascade includes breast cancer, renal cell carcinoma, gastric tumors, neuroendocrine tumors, lymphoma, and prostate cancer. Examples of proliferative diseases that can be treated with a combination of an HSP90 inhibitor and a combination of a dicing agent or a pharmaceutical agent of the invention are, for example, a conscience or malignancy, a brain cancer, a kidney cancer, a liver cancer, an adrenal cancer. , bladder cancer, breast cancer, abdominal cancer, gastric cancer, ovarian cancer, colon cancer, rectal cancer, prostate cancer, pancreatic cancer, lung cancer, vaginal or thyroid carcinoma, genitourinary area Carcinoma, melanoma, glial fistula, sarcoma, glioblastoma, multiple myeloma or gastrointestinal cancer, especially colon cancer or colorectal cancer or neck and head tumor, epidermal hyperplasia, dryness, prostate Hyperplasia, neoplasia, u I ι4_ epithelial features of neoplasia, neuroblastoma, lymphoma, breast cancer, or leukemia. In particular, the compositions of the invention are particularly suitable for breast tumors; epidermoid tumors, for example, For treatment: epidermoid head and / or neck
144363.doc -63- 201032806 腫瘤或口腔腫瘤;.肺腫瘤’例如,小細胞或非小細胞肺腫 瘤;胃腸腫瘤,例如,結腸直腸腫瘤;或生殖泌尿腫瘤, 例如,前列腺遽瘤(尤其是激素難以治療之前列腺腔 瘤);或 (11)用其他化學治療劑難治療之增生性疾病,或 (in)由於多重抗藥性而難以用其他化學治療劑治療之腫 瘤。 在本發明之更廣意義上,進而言之,增生性疾病可為過 度增生性病況’諸如白血病’例如’急性骨髓樣白血病, 例如’慢性骨髓樣白也病,例如’慢性淋巴性白血病,例 如,急性淋巴性白血病,例如’多發性骨趙瘤,例如,淋 巴瘤,及/或可用於治療脊髓發育不良症候群、系統性肥 大細胞增多症、過度增生、纖維化(尤其是肺纖維化,但 亦可為其他類別纖維化,例如,腎纖維化)、血管發生、 乾癬、動脈粥樣硬化、血管中之平滑肌增生諸如狹窄或 血管成形術後再狹窄症、VQn HippelLindau症候群、多中 心Castleman疾病及/或銀屑病。 本發明之組合亦可用於預防或治療由永久性血管發生引 發之疾病,諸如乾癣;卡波西氏肉瘤(Kap〇si,s s⑽则” 再狹窄症,例如’支架誘導之再狹窄症;子宮内膜異位 症;克隆氏病(Crohn’s disease);何傑金氏病(H〇dgkin,s ―叫;白金病;關節炎’例如,類風濕性關節炎;血 管瘤;血管纖維瘤;眼病’諸如糖尿病性視網膜病及新生 血管性青光眼;腎臟疾病,諸如腎小球腎炎;糖尿病性神 144363.doc -64 - 201032806 經病變;惡性腎硬化症;血栓性微血管病症候群;移植排 斥及腎小球病;纖維變性疾病,例如,肝臟硬化;腎小球 膜細胞增生性疾病;動脈硬化;神經組織損傷;及作為免 疫抑制劑、作為無痕傷口癒合助劑用於在氣囊導管治療 後、用於人造血管或在插入保持血管暢通之機械裝置(例 如’支架)後抑制血管再阻塞;及用於治療老年斑及接觸 性皮炎。 本發明之組合包括用於治療、預防或抑制特徵在於細胞 增生及炎症性細胞浸潤之疾病(諸如炎症、rha、哮喘、 慢性支氣管炎、動脈粥樣硬化及移植排斥)之用途。 當提及腫瘤、腫瘤疾病、癌瘤或癌症時,另一選擇為或 另外亦涵蓋初始器官或組織中及/或任何其他位置中:轉 移,而不管該腫瘤及/或轉移之位置如何。 在另-實施例中,本發明提供本發明第一醫藥組份盘 mT〇R抑制劑之組合之用途,其用於製造用於治療或㈣ 增生性疾病之藥物。 在又-實施例中,本發明提供本發明第一醫藥組份與 mTOR抑制劑之組合,其用於治療或預防增生性疾病。、 適宜臨床研究可為(例如)對患有增生性疾病之患 藏公開、劑量遞增研究。具體而言,此等研究證實本發明 之組合之各活性成份具有協同作用。可藉由熟習此項技術 之人員原本熟知之此等研费^^ 士 寻研九的結果來直接測定對增生性疾 病之有益效果。具體而言, ' 此等研九可適用於比較使用活 性成份之單一療法與本發 赞月之組合的效果。較佳地,使藥 144363.doc >65- 201032806 劑(a)之劑量遞増直至達最大耐受劑量且藥劑(…係以固定 劑量投與。另一選擇為,藥劑(a)可以固定劑量投與且使藥 劑(b)之劑量遞增。每一患者可每曰或間歇性地接受若干劑 藥劑(a)。可在此等研究中測定該治療之功效,例如,藉由 每6周實施症狀評分在12周、18周或24周後測定。 與僅應用一種在本發明組合中所用醫藥活性成份之單一 療法相比,投與本發明之醫藥組合不僅可達成有益效果 (例如,協同治療效果,例如,在減緩、延遲症狀進展或 抑制症狀方面)而且亦可達成令人感到驚奇的額外有益效 果(例如,減少副作用、改良生活品質或降低發病率 額外益處可為可使用較低劑量之本發明組合之活性成 份’例如’該等劑量不僅需要量經常較小而且亦可以較低 頻率施用’此可減少副作用之發生率或嚴重性。此與接受 治療之患者的期望及要求相一致。 本發明之一個目標在於提供醫藥組合,諸如如先前所述 包含-定量第一組份及第二組份之組合物,其絲向或預 防增生性疾病時可為聯合治療有效的。可提供用於以固定 ’’且σ (即以單一蓋倫製劑組合物)投與之此等第一及第二 組伤’其可以本身已知適用於經腸(例如,經口或直腸)及 非^•腸投,包括人類在内之哺乳動物(溫血動物)並與一種 或多種4藥上可接$之載劑或稀釋劑組合之方式來 尤其適用於經腸或非經腸施用。 另一選擇為,該組合可以第+ g _ 醫144363.doc -63- 201032806 Tumor or oral tumor; lung tumor 'for example, small cell or non-small cell lung tumor; gastrointestinal tumor, for example, colorectal tumor; or genitourinary tumor, for example, prostate tumor (especially hormone Prostate tumors that are difficult to treat; or (11) proliferative diseases that are difficult to treat with other chemotherapeutic agents, or (in) tumors that are difficult to treat with other chemotherapeutic agents due to multiple drug resistance. In a broader sense of the invention, the proliferative disease may be a hyperproliferative condition such as leukemia such as 'acute myeloid leukemia, eg 'chronic myeloid leukemia, eg 'chronic lymphocytic leukemia, eg eg Acute lymphoblastic leukemia, such as 'multiple bone tumors, eg, lymphoma, and/or can be used to treat myelodysplastic syndromes, systemic mastocytosis, hyperproliferation, fibrosis (especially pulmonary fibrosis, but Other types of fibrosis, for example, renal fibrosis), angiogenesis, dryness, atherosclerosis, smooth muscle hyperplasia in blood vessels such as stenosis or restenosis after angioplasty, VQn Hippel Lindau syndrome, multicenter Castleman disease and / or psoriasis. Combinations of the invention may also be used to prevent or treat diseases caused by permanent angiogenesis, such as cognac; Kaposi's sarcoma (Kap〇si, s s(10)" restenosis, such as 'stent-induced restenosis; Endometriosis; Crohn's disease; Hodgkin's disease (H〇dgkin, s-called; platinum disease; arthritis 'for example, rheumatoid arthritis; hemangioma; angiofibroma; Eye diseases such as diabetic retinopathy and neovascular glaucoma; kidney diseases such as glomerulonephritis; diabetic god 144363.doc -64 - 201032806 transsphenoidal; malignant nephrosclerosis; thrombotic microvascular disorder; transplant rejection and kidney Small ball disease; fibrotic diseases, for example, liver cirrhosis; mesangial cell proliferative diseases; arteriosclerosis; nerve tissue damage; and as an immunosuppressive agent, as a non-marking wound healing aid for use after balloon catheter treatment, For use in artificial blood vessels or to inhibit revascularization after insertion into a mechanical device that maintains blood vessels (eg, 'stents'); and for the treatment of age spots and contact The combination of the invention includes the use for the treatment, prevention or inhibition of diseases characterized by cell proliferation and inflammatory cell infiltration, such as inflammation, rha, asthma, chronic bronchitis, atherosclerosis and transplant rejection. In the case of a tumor, tumor disease, cancer or cancer, the other option is or otherwise covers the initial organ or tissue and/or any other location: metastasis, regardless of the location of the tumor and/or metastasis. In an embodiment, the invention provides the use of a combination of a first pharmaceutical component disc mT〇R inhibitor of the invention for the manufacture of a medicament for the treatment or (d) proliferative disease. In yet another embodiment, the invention provides A combination of a first pharmaceutical component of the present invention and an mTOR inhibitor for use in the treatment or prevention of a proliferative disorder. Suitable clinical studies may be, for example, public exposure, dose escalation studies for patients with proliferative diseases. In other words, these studies demonstrate synergistic effects of the various active ingredients of the combinations of the present invention, which can be studied by those skilled in the art who are familiar with the art. The results directly determine the beneficial effects on proliferative diseases. Specifically, 'Study 9 can be applied to compare the effects of a combination of a single therapy using an active ingredient with the present." Preferably, the drug 144363. Doc >65- 201032806 The dose of agent (a) is administered until the maximum tolerated dose is reached and the agent is administered in a fixed dose. Alternatively, the agent (a) can be administered in a fixed dose and the agent (b) The dose is increased. Each patient may receive several doses of the agent (a) per week or intermittently. The efficacy of the treatment may be determined in these studies, for example, by performing a symptom score every 6 weeks at 12 weeks, 18 Measured weekly or after 24 weeks. The administration of the pharmaceutical combination of the present invention not only achieves a beneficial effect (e.g., a synergistic therapeutic effect, e.g., in slowing, as compared to a monotherapy using only one pharmaceutically active ingredient used in the combination of the invention) Delaying the progression of symptoms or inhibiting symptoms) and can also achieve surprisingly additional benefits (eg, reducing side effects, improving quality of life or reducing morbidity. Additional benefits may be The dosage of the active composition of the present invention to the parts' example 'of such dosage requirements not only often be smaller but are also applied less frequently' This can reduce the incidence or severity of side effects. This is consistent with the expectations and requirements of the patient being treated. It is an object of the present invention to provide a pharmaceutical combination, such as a composition comprising - quantifying a first component and a second component as previously described, which may be effective for combination therapy in the case of a silky or proliferative disease. These first and second sets of injuries can be provided for administration in a fixed '' and sigma (ie, in a single galenic formulation composition) which may be known per se for use in the gut (eg, orally or rectally) And non-intestinal administration, including mammals (warm-blooded animals), including humans, in combination with one or more of the four carriers or carriers, which are especially suitable for enteral or parenteral administration. . Another option is that the combination can be + g _ doctor
第-组份作為獨立 組口提供’包括存於套組t之組合物或並非作 144363.doc * 66 - 201032806 為套組出售之醫藥劑量。 第一組份與第二組份獨立投與之醫藥組合物可以本身已 知方式來製備且係彼等適用於經腸(例如,經口或直腸)及 非經腸投與包括人類在内之哺乳動物(溫血動物)者。用於 獨立投與之每一此種組合物包含治療有效量的至少一種藥 理活性組份與一種或多種醫藥上可接受之載劑或稀 組合。The first component is provided as a separate set of 'medical doses that are included in the kit t or not sold as a kit for 144363.doc * 66 - 201032806. Pharmaceutical compositions which are administered separately from the first component and the second component can be prepared in a manner known per se and are suitable for use in the gut (eg, orally or rectally) and parenterally, including humans. Mammal (warm-blooded animal). Each such composition for independent administration comprises a therapeutically effective amount of at least one pharmacologically active component in association with one or more pharmaceutically acceptable carriers or diluents.
術語「醫藥組份」與術語「醫藥劑」或「活性成份 義地使用。 」 適宜醫帛組合物可含有(例如)約0.1%至約99.9%,較佳 約1%至約6〇%之活性成份。舉例而言,用於經腸或非經腸 投與之組合治療之醫藥製劑係彼等呈單元劑型者,諸如糖 包衣錠劑、鉸劑、膠囊或栓劑或安親。若無另外說明,則 :等:型係由本身已知之方式製備,例如,藉助傳統混 。、仏粒、包糖衣、溶解或;東乾方法。應瞭解,各劑型之 :別劑量中所包含醫藥組份的單位含量自身不必構成有效 成此乃因必需的有效量可藉由投與複數個劑量單位來達 一組份 —個組 在治療增生性疾病之方法中,該第一組份及該第 可:起、依序或分開投與。該第_及第二組份可以 〇單位劑型或以多個獨立單位劑型遞送。 體而言,可將治療有效量之本發明之各醫藥組份同時 人且以任何順序投與,且該等組份可單獨或以固定組 °技與。舉例而言,本發明之預防或治療增生性疾病之方 I44363.doc -67- 201032806 2可包含㈣、或以任-财依序間合治療有效量,較 佳地,以協同有效量(例如,每日或間歇投藥量對應於上 文所述幻⑴投與呈游離或醫藥上可接受之鹽形式之第一 組份及⑼投與呈游離或醫藥上可接受之蘯形式之第二組 2。本發明組合之個職合組份可在治療時程期間在不同 2間分開投與或者以分開或單獨組合形式並行投與。進而 :之’術語「投與」亦涵蓋使用一組合組份之前藥,該前 ΓΓ㈣化成㈣之組合成份1此,本發明應理解 參 為=所有此等同時或交替治療之方案且術語「投與」應 相應地理解。 在本發明組合中所採用每―組份之有效劑量可視所採用 f合物或醫藥組合物、投與模式、正在治療之病況、 正在治療病況之嚴重性而定。因此,本發明之組合之劑量 1案應根據多種因素(包括投藥途徑及患者之腎臟及肝臟 Γ)㈣擇。具有一般技能之臨床醫師或内科醫師可容 確疋減.緩冑抗或阻止該病況進展所需單獨活性成份 2效量並開出處方。達成處於可產生功效且無毒性之範 圍内的活性成份濃度之最佳精度需要一種基於活性成絲 位點利用率之動力學的劑量方案。The term "pharmaceutical component" and the term "pharmaceutical agent" or "active ingredient" are used. The suitable medical composition may contain, for example, from about 0.1% to about 99.9%, preferably from about 1% to about 6%. Active ingredient. For example, pharmaceutical preparations for combination treatment by enteral or parenteral administration are in unit dosage form, such as sugar-coated lozenges, remedies, capsules or suppositories or ampoules. Unless otherwise stated, the :: type is prepared in a manner known per se, for example by means of conventional mixing. , granules, sugar coating, dissolution or; East dry method. It should be understood that the dosage units of the pharmaceutical compositions contained in the other dosage forms do not themselves constitute an effective amount. The effective amount required can be achieved by administering a plurality of dosage units to a group. In the method of sexually transmitted diseases, the first component and the first component can be administered in a sequential, sequential or separate manner. The first and second components can be delivered in unit dosage form or in multiple separate unit dosage forms. In general, a therapeutically effective amount of each of the pharmaceutical compositions of the present invention can be administered simultaneously and in any order, and such components can be used alone or in a fixed set. For example, the method for preventing or treating a proliferative disease of the present invention, I44363.doc-67-201032806 2, may comprise (d), or in a therapeutically effective amount, preferably in a synergistically effective amount (for example, The daily or intermittent dose corresponds to the first component of the above-mentioned (1) administration of the free or pharmaceutically acceptable salt form and (9) the administration of the second group in the form of a free or pharmaceutically acceptable hydrazine. 2. The component of the combination of the present invention may be administered separately in different two periods during the treatment time course or in separate or separate combinations. Further, the term "investment" also covers the use of a combination group. For the prodrug, the combination of the former (4) and the (4) composition, the present invention should be understood to refer to all of the simultaneous or alternating treatments and the term "administration" should be understood accordingly. The effective dose of the component may depend on the compound or pharmaceutical composition employed, the mode of administration, the condition being treated, the severity of the condition being treated. Therefore, the dose of the combination of the present invention should be based on a variety of factors ( Including investment Route and patient's kidney and liver sputum) (4) Choose a clinician or physician with general skills to reduce or reduce the effectiveness of the individual active ingredients required to prevent or progress the condition and prescribe the prescription. The optimal accuracy of the concentration of active ingredient in a range that produces efficacy and is non-toxic requires a dosage regimen based on the kinetics of active filament site utilization.
.Η α、 —劑型之活性成份之量應端 :治療:主及特定投與模式而改變。然㊉,應暸解,用 田何特^患者之具體給藥量應端視多種因素而定該等 =括所採用具體化合物之活性、患者年齡、體重、總 體健康狀況、性別、腾食、投藥時間、投藥途徑、排泄速 144363.doc -68- 201032806 度、藥物組合及經受治療之特定疾病的嚴重程度。對於給 定情形,治療有效量可藉由常規實驗容易地確定且其屬於 普通臨床醫師之技術及判斷範圍。 為了達本發明之目的,治療有效量通常可指分單次或多 次劑量投與主體之總曰劑量,該等日劑量可為(例如)每曰 0.001至1000 mg/kg體重且更佳為每日1〇至3〇叫/“體 重。因此,單位劑量組合物可含有該等數量或其多次分劑 量之組合以構成每日劑量。 式(I)之化合物、mTOR抑制劑及包含此等活性成份之醫 藥組合物可經口、非經腸、經舌下、藉由霧化或吸入喷 霧、經直腸、或外敷以含有所需習用非毒性醫藥上可接受 之載劑、佐劑及媒劑之劑量單位調配物投與。外敷投與亦 可涉及經皮投藥,例如,經皮貼片或離子電泳裝置的使 用。本文所用術語「非經腸」包括皮下注射、靜脈注射、 肌内注射、胸骨内注射、或輸注技術。 可根據已知技術使用適宜分散劑或潤濕劑及懸浮劑來調 配可注射製劑,例如,錢可注射水懸浮液或油懸浮液。 無菌可注射製劑亦可為存於無毒非經腸可接受之稀釋剤或 溶劑中之無菌可注射溶液或懸浮液,例如,如溶於丨,3_丙 二醇中之溶液。在可接受媒劑及溶劑中可採用者係水、林 格氏(Ringer)》谷液及等滲氯化鈉溶液。此外,通常使用無 =固定油作為溶劑或懸浮媒^為達此目#,可採用任: :皿和不揮發性油’包括合成甘油單酯或甘油二酯。此外, 諸如油酸等脂肪酸可在注射劑製備中得到使用。 144363.doc -69- 201032806 用於直腸投藥之栓劑可藉由使該藥物與諸如可可油及聚 乙二醇等適宜非刺激性賦形㈣合來製備,料非刺激性 賦形劑在常溫下為固體但在直腸溫度下為液體且因此,其 會在直腸中熔化並釋放該藥物。 、 用於口服投藥之固體劑型可包括膠囊、錠劑、丸劑、粉 劑及顆粒劑。在該等固_型中,活性化合物可與至少一 種諸如薦糖、乳糖或澱粉等惰性稀_混合。作為正^實 踐,該等劑型亦可包含除惰性稀釋劑外之額外物質,例 如’濁滑劑’諸如硬脂義。在為膠囊、鍵劑及丸劑之情 形中,該等劑型亦可包含緩衝劑。錠劑及丸劑可另外用腸 溶包衣製備。 適於經口投與之液體劑型可包括含有此項技術中常用惰 性稀釋劑(例如水)之㈣上可接受之乳液、溶液、懸浮 液、糖漿及酏齊卜此等組合物亦可包括佐劑,諸如潤濕 劑、乳化劑及懸㈣、環糊精、以及甜㈣、料劑及加 香劑。 式⑴之化合物、mTOR_劑及上文所述醫藥組合物亦 σ、曰質體形式技與。如此項技術所知,月旨質體通常源自 鱗脂或其他脂f物質。脂質體可藉由分散於水性介質中之 單或夕層水合液晶來形成。任何生理上可接受且可代謝 的此夠形成脂f體之無毒脂f均可用。除含有本發明化合 物外’本發明呈脂質體形式之組合物亦可含有穩定劑防 腐齊丨賦形劑及諸如此類。較佳脂質為天然及合成磷脂及 磷脂醯膽鹼(卵磷脂)。形成脂質體之方法為此項技術所 144363.doc 201032806 知。參見(例如)prescott (編輯),「Meth〇d in CellΗ α, — The amount of the active ingredient of the dosage form should be treated: the treatment: the main and specific mode of administration changes. However, it should be understood that the specific dose of the patient should be determined by a variety of factors including the activity of the specific compound used, the age, weight, overall health, sex, gestation, and administration of the patient. Time, route of administration, rate of excretion 144363.doc -68- 201032806 degrees, drug combination and severity of the particular disease being treated. For a given situation, a therapeutically effective amount can be readily determined by routine experimentation and is within the skill and judgment of the ordinary clinician. For the purposes of the present invention, a therapeutically effective amount can generally mean a total sputum dose administered to a subject in a single or multiple doses, which may be, for example, from 0.001 to 1000 mg/kg body weight per twentieth and more preferably Daily 〇 to 3 〇 / "weight. Therefore, the unit dose composition may contain a combination of these amounts or multiple thereof to form a daily dose. Compounds of formula (I), mTOR inhibitors and inclusions The pharmaceutical composition of the active ingredient can be administered orally, parenterally, sublingually, by nebulization or inhalation spray, rectally, or externally to contain the desired non-toxic pharmaceutically acceptable carrier, adjuvant. And the dosage unit formulation of the vehicle is administered. The topical administration may also involve transdermal administration, for example, the use of a transdermal patch or an ion electrophoresis device. The term "parenteral" as used herein includes subcutaneous injection, intravenous injection, muscle. Internal injection, intrasternal injection, or infusion technique. Injectable preparations, e.g., money injectable aqueous suspensions or oil suspensions, may be employed in accordance with known techniques using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, e.g., a solution in sputum, 3-propanediol. Among the acceptable vehicles and solvents may be water, Ringer's solution, and isotonic sodium chloride solution. In addition, it is common to use a non-fixed oil as a solvent or a suspending medium for any of the following: any of: a dish and a fixed oil 'including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectables. 144363.doc -69- 201032806 A suppository for rectal administration can be prepared by combining the drug with a suitable non-irritating form such as cocoa butter and polyethylene glycol. The non-irritating excipient is at room temperature. It is a solid but liquid at the rectal temperature and therefore it will melt in the rectum and release the drug. Solid dosage forms for oral administration may include capsules, troches, pills, powders, and granules. In such solid forms, the active compound may be mixed with at least one inert diluent such as sucrose, lactose or starch. As a matter of practice, the dosage forms may also contain additional materials other than inert diluents, such as 'smoothing agents' such as stearyl. In the case of capsules, binders and pills, the dosage forms may also contain buffering agents. Tablets and pills may additionally be prepared by enteric coating. Liquid dosage forms suitable for oral administration may include (iv) acceptable emulsions, solutions, suspensions, syrups and elixirs containing such inert diluents as are commonly employed in the art, such as water, and may also include Agents such as wetting agents, emulsifying agents and suspensions (tetra), cyclodextrin, and sweet (iv), materials and flavoring agents. The compound of the formula (1), the mTOR_agent and the pharmaceutical composition described above are also in the form of sigma and ruthenium. As is known in the art, the plastids are usually derived from scales or other lipids. Liposomes can be formed by mono- or smectic hydrated liquid crystals dispersed in an aqueous medium. Any physiologically acceptable and metabolizable non-toxic lipid f which forms a lipid body can be used. The composition of the present invention in the form of a liposome, in addition to the compound of the present invention, may also contain a stabilizer antiseptic excipient and the like. Preferred lipids are natural and synthetic phospholipids and phospholipid choline (lecithin). A method of forming a liposome is known from the art 144363.doc 201032806. See, for example, prescott (editor), "Meth〇d in Cell
Biology,」(第 XIV卷,Academic Press,New York,1976, 第33頁以及下述等等)。 除可與mTOR抑制劑組合外,本發明之Hsp9〇化合物亦可 ' 與一種或多種其他醫藥劑組合。此等藥劑可為ACE抑制 • 齊!;腺苦激酶抑制劑;佐齊 1 ;腎上腺皮質拮抗劑;AKT途 徑抑制劑;炫基化劑;血管發生抑制劑;血管生成抑制性 類固醇;抗雄激素;抗雌激素;抗高約血割;抗白血病化 ❹合物,抗代謝物;抗增生性抗體;細胞〉周亡誘導劑;AT1 受體拮抗劑;極光激酶抑制劑;芳香酶抑制劑;生物反應 心飾劑,雙磷酸鹽,布魯頓氏(Brut〇n,s)路胺酸激酶(BTK) 抑制劑,鈣神經素抑制劑;CaM激酶工冰制劑;酪胺 酸填酸酶抑制劑;CDC25磷酸酶抑制劑;chk激酶抑制 劑;挺向/降低蛋白或脂質激酶活性或蛋白或脂質碟酸酶 活性之化合物’另一種抗血管生成化合物或可誘導細胞分 馨裂過程之化合物;用於調節染料木黃酮、奥羅莫星 (olomoucine)及/或酪胺酸磷酸化抑制劑之調控劑;環氧合 酶抑制劑、RAF激酶抑制劑;細胞週期蛋白依賴性激酶 抑制劑;半胱胺酸蛋白酶抑制劑;職嵌入劑;驅鍵斷 裂劑;職接酶抑制劑;咖黏合劑;内分泌激素;法呢 醯基轉移酶抑制劑;㈣激酶抑制劑;托向、降低或抑制 活[生之化合物,戈那瑞林(g〇nad〇reiin)激動劑;糖原 合酶激酶-3 (GSK3)抑制劑;類肝素酶抑制劑;用於治療 惡性血液病之藥劑;組蛋白脫乙醯基酶⑽AC)抑制劑; 144363.doc •71 - 201032806 含有皮質類固醇之植入物;I-κ Β-α激酶抑制劑(IKK);胰 島素受體酪胺酸激酶抑制劑;c-Jun N-終端激酶(JNK)激酶 抑制劑;微管黏合劑;促分裂原活化蛋白(MAP)激酶-抑制 劑;MDM2抑制劑;MEK抑制劑;甲硫胺酸胺基肽酶抑制 劑;基質金屬蛋白酶(MMP)抑制劑;單株抗體;NGFR酪 胺酸-激酶-抑制劑;p3 8 MAP激酶抑制劑,包括 SAPK2/p38激酶抑制劑;p56酪胺酸激酶抑制劑;PDGFR 酪胺酸激酶抑制劑;磷脂醯肌醇3 -激酶抑制劑;磷酸酶抑 制劑;光動力療法;鉑藥劑;蛋白磷酸酶抑制劑,包括 PP1及PP2抑制劑及酪胺酸磷酸酶抑制劑;PKC抑制劑及 PKC δ激酶抑制劑;聚胺合成抑制劑;蛋白體抑制劑; ΡΤΡ1Β抑制劑;蛋白酪胺酸激酶抑制劑,包括SRC家族胺 酸激酶抑制劑;Syk酪胺酸激酶抑制劑;及JAK-2及/或 JAK-3酪胺酸激酶抑制劑;Ras致癌亞型抑制劑;類視色 素;核糖核苷酸還原酶抑制劑;RNA聚合酶II伸長抑制 劑;S-腺苷甲硫胺酸脫羧酶抑制劑;絲胺酸/蘇胺酸激酶抑 制劑;生長抑素受體拮抗劑;固醇生物合成抑制劑;端粒 末端轉移酶抑制劑;拓撲異構酶抑制劑;腫瘤細胞的破壞 手段;VEGF或VEGFR之單株抗體;VEGFR酪胺酸激酶抑 制劑;或RANKL抑制劑。 可與本發明Hsp90抑制劑組合之化合物之具體實例係 CIBACEN ;貝那普利(benazepril); 依那澤普利 (enazepril);卡托普利(captopril);依那普利(enalapril); 福辛普利(fosinopril);賴諾普利(lisinopril);莫昔普利 144363.doc -72- 201032806 (moexipril);喹那普利(quinapril);雷米普利(ramipril); 培0朵普利(perindopril);群多普利(trandolapril) ; 5-硪代殺 結核菌素;曱醯四氫葉酸(Leucovorin);左旋〇米〇坐 (Levamisole);米托坦(Mitotane);魚藤素(Deguelin);他 • 克瑞賓(Trciribine);苯丁酸氮芥(Chlorambucil);環磷醯 • 胺;達卡巴0秦(Dacarbazine);洛莫司、;丁(Lomustine);丙卡 巴肼(Procarbazine) ; °塞替派(Thiotepa);美法余 (Melphalan);替莫 °圭胺(Temozolomide);卡莫司汀 φ (Carmustine);異環填醯胺;絲裂黴素;六甲嘧胺 (Altretamine);白消安(Busulfan);二氣曱基二乙胺氫氣酸 鹽(Machlorethamine hydrochloride);亞頌基腺;鏈脲黴素 (Streptozocin);雌莫司汀(estramustine);夫馬潔林 (Fumagillin);紫草素(Shikonin);曲尼司特(Tranilast);熊 果酸(ursolic acid); 舒拉明(suramin);沙利度胺 (thalidomide);阿奈可他(anecortave);曲安西龍 (triamcinolone);氫化可的松(hydrocortisone) ; ll-α-表位 ® 氫化皮質醇;11-脫氫皮甾醇(cortexolone) ; 17α-經基孕 酮;皮質酮;脫氧皮質酮;睾酮;雌酮;地塞米松 • (dexamethasone);尼魯米特(nilutamide);比卡魯胺 (bicalutamide);托瑞米芬(Toremifene);來曲 〇坐 (Letrozole);睾内醋(Testolactone);阿那曲唾 (Anastrozole);比卡魯胺;氟他胺(Flutamide);檸檬酸他 莫昔芬(Tamoxifen Citrate);依西美坦(Exemestane);氟維 司群(Fulestrant);他莫昔芬(tamoxifen) ; I維司群 144363.doc -73- 201032806 (fulvestrant);雷洛昔芬(raloxifene);雷洛昔芬氫氣酸鹽; 石肖酸錄(III)水合物;帕米鱗酸二納(pamidronate disodium) ; Ara-C ;次黃嗓 ^(hypoxanthine) ; 6-疏基嗓"令 (6-MP);碗酸氟達拉濱(fludarabine phosphate);阿糖胞 苷;氟達拉濱(Fludarabine);氟尿苷(Flexuridine);氟尿嘴 咬(Fluorouracil);卡培他濱(Capecitabine);雷替曲塞 (Raltitrexed);甲氨蝶吟(Methotrexate);克拉屈濱 (Cladribine);吉西他濱(Gemcitabine);吉西他濱氫氯酸 鹽;硫鳥嘌呤(Thioguanine);經基脲;5-氮雜胞苷;地西 他濱(decitabine); 依達曲沙(edatrexate);培美曲塞 (pemetrexed);貝伐單抗(bevacizumab);利妥昔單抗 (rituximab) ; PR064553 ;乙醇,2-[[3-(2,3-二氣苯氧基)丙 基]胺基]-(9C1);藤黃酸(gambogic acid);恩貝靈 (Embelin);三氧化二砷;DIOVAN ;雙核素 2(Binucleine 2);阿他美坦(atamestane);依西美坦;福美司坦 (formestane);胺魯米特(aminoglutethimide);羅穀亞胺 (roglethimide) ; 0比魯米特(pyridoglutethimide);曲洛司坦 (trilostane);睾内醋;酮康 °坐(ketoconazole);伏氣 °坐 (vorozole);法屈β坐(fadrozole);阿那曲β坐;來曲《坐;淋巴 因子(lymphokine);干擾素γ ;伊曲膦酸(etridonic);氯膦 酸(clodronic); 替魯膦酸(tiludronic); 帕米膦酸 (pamidronie);阿命膦酸(alendronic);伊班膦酸 (ibandronic);利塞膦酸(risedronic) ; °坐來膦酸(zoledronic acid) ; 土 麯黴酸(terreic acid);氣氰菊醋(Cypermethrin); 144363.doc -74- 201032806 >臭乱菊醋(Deltamethrin),氮戍菊輯(Fenvalerate);酷·胺酸 麟酸化抑制劑8 ; 5-異喹啉磺酸,4-[(2S)-2-[(5-異喹啉基續 醯基)甲基胺基]-3-側氧基-3-(4-苯基-i_哌嗪基)丙基]苯基 酯(9CI);苯磺醯胺,N-[2-[[[3-(4-氣苯基)·2·丙烯基]甲基] • 胺基]曱基]苯基]-Ν-(2-羥基乙基)-4-甲氧基-(9C1);膦酸, . [[2-(4-溴苯氧基)-5-硝基苯基]羥基甲基]_(9C1); M_萘二 酮,2,3-雙[(2-羥基乙基)硫基]-(9C1);脫溴曼尼丁 (Debromohymenialdisine) ; 7H-°比洛并[2,3-d]°密咬衍生物, φ 包括{6-[4-(4-乙基-哌嗪-1-基甲基)-苯基]-7H-吡咯并[2,3-d]嘧啶-4-基]-((R)-l-苯基-乙基)-胺;BAY 43-9006 ; (4-第 三丁基_苯基)-94-»比咬-4-基甲基-異啥淋-1-基)-胺;伊馬替 尼(imatinib) ; SU101 ; SU6668 ; GFB-111 ; 4-胺基-5-苯 基-7-環丁基-吡咯并[2,3-d]嘧啶衍生物(AEW541); PD180970 ; AG957 ; NSC 680410 ; PD173955 ; BMS354825 ; 米哚妥林(midostaurin); UCN-01 ;沙芬戈(safingol); BAY 43-9006;苔蘚抑素(Bryostatin) 1 ;娘立福辛(Perifosine); _ 伊莫福新(Ilmofosine) ; RO 318220 ; RO 320432 ; GO 6976 ; Isis 3521 ; LY33353 1/LY379196 ; PD184352 ; . QAN697 ;伊馬替尼甲磺酸鹽(GLEEVEC);酪胺酸磷酸化Biology," (Vol. XIV, Academic Press, New York, 1976, p. 33 et seq., etc.). In addition to being combined with an mTOR inhibitor, the Hsp9(R) compound of the present invention may also be combined with one or more other pharmaceutical agents. These agents can be ACE inhibited • Qi! ; adenosine kinase inhibitor; zozi 1; adrenal cortical antagonist; AKT pathway inhibitor; stimulator; angiogenesis inhibitor; angiogenesis-inhibiting steroid; anti-androgen; anti-estrogen; anti-high blood cut Anti-leukemia chelate, antimetabolite; anti-proliferative antibody; cell>inducer of apoptosis; AT1 receptor antagonist; aurora kinase inhibitor; aromatase inhibitor; bioreactive enamel, bisphosphonate, Bruton's (Brut〇n, s) glutamate kinase (BTK) inhibitor, calcineurin inhibitor; CaM kinase worker ice formulation; tyrosine nitrite inhibitor; CDC25 phosphatase inhibitor; chk kinase Inhibitor; a compound that positively/lowers protein or lipid kinase activity or protein or lipid phytase activity' another anti-angiogenic compound or a compound that induces a cell cleavage process; used to regulate genistein, Oromo Modulator of olomoucine and/or tyrosine phosphorylation inhibitor; cyclooxygenase inhibitor, RAF kinase inhibitor; cyclin-dependent kinase inhibitor; cysteine protease inhibitor; Injecting agent; cleavage agent; operative enzyme inhibitor; coffee binder; endocrine hormone; ruthenium thiotransferase inhibitor; (iv) kinase inhibitor; support, reduction or inhibition of live [biochemical, gonar Lin (g〇nad〇reiin) agonist; glycogen synthase kinase-3 (GSK3) inhibitor; heparanase inhibitor; agent for the treatment of hematological malignancies; histone deacetylase (10) AC) inhibition 144363.doc •71 - 201032806 Implants containing corticosteroids; I-κ Β-α kinase inhibitor (IKK); insulin receptor tyrosine kinase inhibitor; c-Jun N-terminal kinase (JNK) Kinase inhibitor; microtubule adhesive; mitogen-activated protein (MAP) kinase-inhibitor; MDM2 inhibitor; MEK inhibitor; methionine aminopeptidase inhibitor; matrix metalloproteinase (MMP) inhibitor; Monoclonal antibody; NGFR tyrosine-kinase-inhibitor; p3 8 MAP kinase inhibitor, including SAPK2/p38 kinase inhibitor; p56 tyrosine kinase inhibitor; PDGFR tyrosine kinase inhibitor; phospholipid creatinine 3 - kinase inhibitor; phosphatase inhibitor; photodynamic therapy; platinum agent; White phosphatase inhibitors, including PP1 and PP2 inhibitors and tyrosine phosphatase inhibitors; PKC inhibitors and PKC δ kinase inhibitors; polyamine synthesis inhibitors; proteosome inhibitors; ΡΤΡ1Β inhibitors; protein tyrosine Kinase inhibitors, including SRC family amino acid kinase inhibitors; Syk tyrosine kinase inhibitors; and JAK-2 and/or JAK-3 tyrosine kinase inhibitors; Ras oncogenic subtype inhibitors; retinoids; ribose Nucleotide reductase inhibitor; RNA polymerase II elongation inhibitor; S-adenosylmethionine decarboxylase inhibitor; serine/threonine kinase inhibitor; somatostatin receptor antagonist; sterol Biosynthesis inhibitors; telomerase inhibitors; topoisomerase inhibitors; means of destruction of tumor cells; monoclonal antibodies to VEGF or VEGFR; VEGFR tyrosine kinase inhibitors; or RANKL inhibitors. Specific examples of compounds which can be combined with the Hsp90 inhibitors of the invention are CIBACEN; benazepril; enazepril; captopril; enalapril; Finsinopril; lisinopril; moxipril 144363.doc -72- 201032806 (moexipril); quinapril; ramipril; Perindopril; trandolapril; 5-deuterostatin; Leucovorin; Levamisole; Mitotane; (Deguelin); Trciribine; Chlorambucil; Cyclophosphonium; Adacarb; Dacarbazine; Lomust; Lomustine; Procarbazone Procarbazine) ; ° Thiotepa; Melphalan; Temozolomide; Carmustine; Heterocyclic Amidine; Mitomycin; Hexamidine (Altretamine); Busulfan; Machlorethamine hydrochloride; sulfhydrylamine; streptozotocin Reptozocin); estramustine; Fumagillin; Shikonin; Tranilast; ursolic acid; suramin; Thalidomide; anecortave; triamcinolone; hydrocortisone; ll-α-epitope® hydrocortisol; 11-dehydrositosterol (cortexolone); 17α-methionine; corticosterone; deoxycorticosterone; testosterone; estrone; dexamethasone; nilutamide; bicalutamide; toremifene ;Letrozole; Testolactone; Anastrozole; Bicalutamide; Flutamide; Tamoxifen Citrate; Exemestane (Exemestane); fulvestrant; tamoxifen; I vesistry 144363.doc -73- 201032806 (fulvestrant); raloxifene; raloxifene hydrochloride ; Shixiao acid recorded (III) hydrate; pamidronate disodium; Ara-C; hypoxanthine 6-基基嗓"令(6-MP); fludarabine phosphate; cytarabine; Fludarabine; Flexuridine; fluoropurine bite (Fluorouracil); Capecitabine; raltitrexed; methotrexate; Cladribine; gemcitabine; gemcitabine hydrochloride; thioguanine Thioguanine); transurea; 5-azacytidine; decitabine; edatrexate; pemetrexed; bevacizumab; rituximab Antibiotic (rituximab); PR064553; ethanol, 2-[[3-(2,3-diphenoxy)propyl]amino]-(9C1); gambogic acid; Embelin Arsenic trioxide; DIOVAN; Binucleine 2; atamestane; exemestane; formestane; aminoglutethimide; roglethimide; Pyridoglutethimide; trilostane; testosterone vinegar; ketoconazole; vorozole; fadrozole; ana曲β坐;来曲《坐; lymphokine; interferon γ; etidonic acid (etridonic); clodronic acid; tiludronic; pamidronic acid (pamidronie); Alendronic; ibandronic; risedronic; ° zoledronic acid; terreic acid; cysteine vinegar (Cypermethrin); 144363.doc -74- 201032806 >Deltamethrin, Fenvalerate; cool amine linonic acid inhibitor 8; 5-isoquinoline sulfonic acid, 4-[(2S)-2 -[(5-isoquinolinyl fluorenyl)methylamino]-3-oxo-3-(4-phenyl-i-piperazinyl)propyl]phenyl ester (9CI); benzene Sulfonamide, N-[2-[[[3-(4-phenylphenyl)-2-propenyl]methyl])]amino]indolyl]phenyl]-indole-(2-hydroxyethyl) 4-methoxy-(9C1); phosphonic acid, . [[2-(4-bromophenoxy)-5-nitrophenyl]hydroxymethyl]-(9C1); M-naphthalenedione, 2,3-bis[(2-hydroxyethyl)thio]-(9C1); Debromohymenial disine; 7H-° piroxime [2,3-d]° seductive derivative, φ Including {6-[4-(4-ethyl-piperazin-1-ylmethyl)-benzene -7H-pyrrolo[2,3-d]pyrimidin-4-yl]-((R)-l-phenyl-ethyl)-amine; BAY 43-9006; (4-tert-butyl _ Phenyl)-94-»biti-4-ylmethyl-isoindolin-1-yl)-amine; imatinib; SU101; SU6668; GFB-111; 4-amino-5-benzene -7-cyclobutyl-pyrrolo[2,3-d]pyrimidine derivative (AEW541); PD180970; AG957; NSC 680410; PD173955; BMS354825; midostaurin; UCN-01; (safingol); BAY 43-9006; Bryostatin 1; Perifosine; _ Ilmofosine; RO 318220; RO 320432; GO 6976; Isis 3521 ; LY33353 1/LY379196 PD184352 ; . QAN697 ; Imatinib mesylate (GLEEVEC); tyrosine phosphorylation
抑制劑或嘧啶基胺基苯甲醯胺及其衍生物;酪胺酸磷酸化 抑制劑A23/RG-50810 ; AG 99 ;酪胺酸磷酸化抑制劑AG 213 ;酪胺酸磷酸化抑制劑AG 1748 ;酪胺酸磷酸化抑制劑 AG 490 ;酪胺酸磷酸化抑制劑B44 ;酪胺酸磷酸化抑制劑 B44(+)對映異構體;酪胺酸磷酸化抑制劑AG 555 ; AG 144363.doc -75- 201032806 494 ;胳胺酸磷酸化抑制劑ag 556 ; AG957及阿達福汀 (adaphostin)(4-{[(2,5-二羥基苯基)甲基]胺基卜苯甲酸金剛 烧基醋’ NSC 680410,阿達福汀;);磷酸酶i ;磷酸酶2A ; PTEN ;黑軟海綿素 A(〇kadaic acid) ; TNP-470 ;視黃酸、 α-、γ-或δ_生育酚或α_、γΓ4δ_生育三烯酚;黃豆苷元 (Daidzein);異-奥羅莫星;酪胺酸磷酸化抑制劑丨;1Η_Π引 哚-3-乙醯胺,1-(4-氣苯甲醯基)_5_甲氧基_2_曱基-Ν_(2_笨 基乙基)-(9Cl) ; 5-烷基取代之2-芳基胺基苯基乙酸;塞來 考昔(celecoxib);羅非考昔(rofecoxib);依託考昔 (etoricoxib);伐地考昔(valdecoxib); 5_ 曱基 _2_(2|_ 氯·6,_ 氣本胺基)苯基乙酸’魯米考昔(lumiracoxib) ; 3-(3,5 -二 溴-4-羥基亞苄基)-5-碘-1,3-二氫吲哚-2-酮;苯甲醯胺,3-(二甲基胺基)-N-[3-[(4-羥基苯甲醯基)胺基]-4-甲基苯基]-(9C1) ; N9-異丙基-奥羅莫星;奥羅莫星;普爾伐諾 (Purvalanol)B ;細胞週期蛋白依賴激酶(Roscovitine);靛 玉紅(Indirubin);肯寶龍(Kenpaullone);普爾伐諾A;靛玉 紅-3’-單肟;4-嗎啉甲醯胺,N-[(lS)-3-氟-2-側氧基-1-(2-苯基乙基)丙基]胺基]-2-側氧基-1-(苯基甲基)乙基]-(9C1); 普卡徽素(Plicamycin);更生黴素(Dactinomycin);博來黴 素(Bleomycin) ; N-((3,3,3-三氟-2-三氟曱基)丙醯基)磺醯 胺;FTY720 ;亮丙瑞林(Leuprolide);乙酸甲地孕酮 (megestrol acetate);酪胺酸磷酸化抑制劑23 ;酪胺酸磷酸 化抑制劑25 ;酪胺酸磷酸化抑制劑47 ;酪胺酸磷酸化抑制 劑51 ;酪胺酸磷酸化抑制劑AG 825 ; 2-丙烯醯胺,2-氰 144363.doc -76- 201032806 基-3-(3,4-二羥基苯基)-:^-苯基-,(2£)-(9(:1);酪胺酸磷酸化 抑制劑Ag 1478 ;葉草菌素(Lavendustin)A ; 3-0比咬乙腈, ct-[(3,5-二氯苯基)亞甲基]-,(aZ)-(9Cl);酪胺酸磷酸化抑 制劑46 ; a-羥基法呢基膦酸;丁酸,2-[[(2S)-2-[[(2S,3S)- ' 2-[[(2R)-2-胺基-3-巯基丙基]胺基]-3-甲基戊基]氧基]-1-側 .乳基-3 -苯基丙基]胺基]-4-(曱基續酿基)-’ 1-甲基乙醋’ (2S)-(9cl);手黴素(Manumycin)A; 2-丙烯醢胺,2-氰基- 3-[4-羥基-3,5-雙(1-曱基乙基)苯基]-N-(3-苯基丙基)-,(2E)- # (9C1) ; N-苯甲醯基-星形孢菌素(staurosporine)(PKC412); 米哚妥林;SU11248 ; MLN518 ;阿巴瑞克(abarelix);戈 舍瑞林(goserelin);戈舍瑞林乙酸鹽;靛玉紅-3'-單肟; PI-88 ; Ι-b-D-阿糖吱鳴胞嘴咬(arabinofuranosylcytosine); 必速凡(bisulfan) ; N-羥基-3-[4-[[(2-羥基乙基)[2-(1Η-吲 哚-3-基)乙基]-胺基]曱基]苯基]-2E-2-丙烯醯胺及N-羥基- 3-[4-[[[2-(2-甲基-1H-吲哚-3-基)-乙基]-胺基]甲基]笨基]-Inhibitor or pyrimidinyl benzyl carbamide and its derivatives; tyrosine phosphorylation inhibitor A23/RG-50810; AG 99; tyrosine phosphorylation inhibitor AG 213; tyrosine phosphorylation inhibitor AG 1748; tyrosine phosphorylation inhibitor AG 490; tyrosine phosphorylation inhibitor B44; tyrosine phosphorylation inhibitor B44(+) enantiomer; tyrosine phosphorylation inhibitor AG 555 ; AG 144363 .doc -75- 201032806 494; tyrosine phosphorylation inhibitor ag 556 ; AG957 and adaphostin (4-{[(2,5-dihydroxyphenyl)methyl]aminobenzoic acid Burning vinegar 'NSC 680410, adafutin;); phosphatase i; phosphatase 2A; PTEN; 〇kadaic acid; TNP-470; retinoic acid, α-, γ- or δ_ Tocopherol or α_, γΓ4δ_tocotrienol; daidzein; iso-olomoxine; tyrosine phosphorylation inhibitor 丨; 1Η_Π 哚-3-acetamide, 1-(4- Gasbenzhydryl)_5_methoxy-2-indolyl-indole_(2_stylethyl)-(9Cl); 5-alkyl substituted 2-arylaminophenylacetic acid; Celecoxib; rofecoxib; etoricoxib; Valdecoxib; 5_ thiol_2_(2|_ chloro.6, _aerocarbyl) phenylacetic acid 'lumicoxib; 3-(3,5-dibromo-4- Hydroxybenzylidene)-5-iodo-1,3-dihydroindol-2-one; benzamidine, 3-(dimethylamino)-N-[3-[(4-hydroxyphenyl) Mercapto)amino-4-methylphenyl]-(9C1); N9-isopropyl-ornomostar; olomostar; Purvalanol B; cyclin-dependent kinase (Roscovitine ); Indirubin; Kenpaullone; Pulvano A; Indirubin-3'-monoterpene; 4-morpholinecarbamamine, N-[(lS)-3-fluoro-2 -Phenoxy-1-(2-phenylethyl)propyl]amino]-2-oxo-l-(phenylmethyl)ethyl]-(9C1); Plicamycin ); Dactinomycin; Bleomycin; N-((3,3,3-trifluoro-2-trifluoromethyl)propanyl)sulfonamide; FTY720; Leuprolide; megestrol acetate; tyrosine phosphorylation inhibitor 23; tyrosine phosphorylation inhibitor 25; tyrosine phosphorylation inhibitor 47; tyrosine phosphorylation inhibitor 51 Tyrosine phosphorylation inhibitor AG 825 ; 2-prop Indoleamine, 2-cyano 144363.doc -76- 201032806 yl-3-(3,4-dihydroxyphenyl)-:^-phenyl-, (2£)-(9(:1); tyrosine Phosphorylation inhibitor Ag 1478; Lavendustin A; 3-0 than acetonitrile, ct-[(3,5-dichlorophenyl)methylene]-, (aZ)-(9Cl); Tyrosine phosphorylation inhibitor 46 ; a-hydroxyfarnesylphosphonic acid; butyric acid, 2-[[(2S)-2-[[(2S,3S)- ' 2-[[(2R)-2- Amino-3-mercaptopropyl]amino]-3-methylpentyl]oxy]-1-yl.lacyl-3-phenylpropyl]amino]-4-(indenyl) )-'1-methylethyl vinegar' (2S)-(9cl); Manumycin A; 2-propenylamine, 2-cyano-3-[4-hydroxy-3,5-double ( 1-mercaptoethyl)phenyl]-N-(3-phenylpropyl)-, (2E)- # (9C1) ; N-benzimidyl- staurosporine (PKC412) Miltonidine; SU11248; MLN518; abarelix; goserelin; goserelin acetate; indirubin-3'-monoquinone; PI-88; - Arabidinos (also known as arabinofuranosylcytosine); Bisulfan; N-hydroxy-3-[4-[[(2-hydroxyethyl)[2-(1Η-吲哚-3-yl)) Ethyl]-amino]mercapto]phenyl]-2E- 2-propenylamine and N-hydroxy-3-[4-[[[2-(2-methyl-1H-indol-3-yl)-ethyl]-amino]methyl]phenyl]-
2E-2-丙烯醯胺及其醫藥上可接受之鹽(LBH589);環庚醯 A 零 基苯胺異羥肟酸;[4-(2-胺基-苯基胺基甲醯基)-苄基]•胺 基甲酸吡啶-3-基甲基酯及其衍生物;丁酸;吡咯醯胺 (pyroxamide);曲古抑菌素(trichostatin)A ;奥沙伐汀 (OxamHatin);阿比西丁(apicidin);縮肽(Depsipeptide); 德布德辛(depudecin);曲譜辛(trapoxin);德布德辛;HC 毒素;苯基丁酸鈉;環庚醯基雙-異羥肟酸;曲古抑菌素 A; 17-烯丙基胺基’ 17-脫甲氧基格爾德黴素(geldanamycin) (17AAG);格爾德黴素,17-脫曱氧基-17-(2-丙烯基胺基)- 144363.doc -77- 201032806 (9C1);格爾德黴素;膚輕鬆(fluocinolone);地塞米松;2-丙烯腈,3-[(4-甲基苯基)磺醯基]-,(2E)-(9C1);羥基-2-萘 基甲基膦酸;吡唑蒽酮;沒食子酸表沒食子兒茶素酯;硫 酸長春驗;硫酸長春新驗;長春地辛(Vindesine);長春瑞 濱(Vinorelbine);多西他賽(Docetaxel);紫杉醇 (Paclitaxel);長春瑞濱;盤形德莫利得(discodermolides); 秋水仙驗(cochicine);埃坡黴素(epothilone)衍生物;埃坡 黴素B ;埃坡黴素(Epothilone)A ;苯磺醯胺,N-[2-[[[3-(4-氯苯基)-2-丙烯基]曱基]胺基]曱基]苯基]-N-(2-羥基乙基)- φ 4-甲氧基-(9C1);反式-4-碘,4'-硼烷基-查耳酮;丁二腈, 雙[胺基[2-胺基苯基)硫基]亞曱基]-(9C1);本阿米德 (bengamide)或其衍生物;放線酿胺素(Actinonin);沒食子 酸表沒食子兒茶素酯;馬立馬司他(marimastat);普淋司 他(prinomastat);麥特司他(metastat) ; BMS-279251 ; BAY 12-9566 ; TAA211 ; MMI270B ; AAJ996 ;貝伐單抗;替伊 莫單抗(Ibritumomab tiuxetan);托西莫單抗(tositumomab); 碘I 131 ;酪胺酸磷酸化抑制劑AG 879 ;苯酚,4-[4-(4-氟 〇 苯基)-5-(4-吡啶基)-1Η-咪唑-2-基]-(9C1);苯曱醯胺,3-(二甲基胺基)-N-[3-[(4-羥基苯甲醯基)胺基]-4-甲基苯基]· (9C1);虎刺越(damnacanthal);絡胺酸破酸化抑制劑46 ; 酪胺酸磷酸化抑制劑AG 1296 ;酪胺酸磷酸化抑制劑9 ; 1,3-丁二烯-1,1,3-三甲腈,2-胺基-4-(1Η-吲哚-5-基)-(9Cl); 渥曼青黴素(Wortmannin);槲皮素二水合物;斑整酸 (cantharidic acid);斑整素(cantharidin); L-白胺酸醯胺, 144363.doc -78- 201032806 N-[4-(2-羧基乙烯基)苯曱醯基]甘胺醯基-L-α-麩胺醯基-, (E)-(9C1) ; VISUDYNE ; 口卜吩姆鈉(porfimer sodium);卡 Ί白(Carboplatin);順始(Cisplatin);奥沙利始(Oxaliplatin); 順#(cisplatinum);沙始(Satraplatin),諸如 ZD0473 ;斑整 •酸;斑蝥素;L-P-溴四咪唑草酸鹽;2(5H)-呋喃酮,4-羥 -基-5-(羥基甲基)-3-(1-側氧基十六烷基)-,(5R)-(9C1);苄 基膦酸;1-11-吡咯并-2,5-二酮,3-[1-[3-(二曱基胺基)丙 基]-1H-吲哚-3-基]-4-(1Η-吲哚-3-基)-(9Cl);雙吲哚基馬來 Φ 醯亞胺IX ;鞘氨醇(Sphingosine);星形孢菌素;酪胺酸磷 酸化抑制劑51 ;金絲桃素(Hypericin);粗糠柴毒(Rottlerin); DMFO ;阿克拉黴素(aclacinomycin)A ;膠黴毒素(gliotoxin); PS-341 ; MLN 341 ;波替單抗(bortezomib);維卡德 (Velcade) ; L-白胺酸醯胺,N-[4-(2-羧基乙烯基)苯甲醯基] 甘胺醯基-L-α-麩胺醯基-,(E)-(9C1);酪胺酸磷酸化抑制 劑AG 126;酪胺酸磷酸化抑制劑Ag 1288;酪胺酸磷酸化 抑制劑Ag 1295 ;格爾德黴素;染料木黃酮;PP1 ; PP2 ;2E-2-propenylamine and its pharmaceutically acceptable salt (LBH589); cycloheptin A decyl aniline hydroxamic acid; [4-(2-amino-phenylaminoglycolyl)-benzyl Pyridin-3-ylmethyl carbamate and its derivatives; butyric acid; pyroxamide; trichostatin A; oxavastatin (OxamHatin); Decicidin; Depsipeptide; depudecin; trapoxin; debudcine; HC toxin; sodium phenylbutyrate; cycloheptyl bis-hydroxamic acid; Trichostatin A; 17-allylamino- 17-demethoxygaldanamycin (17AAG); geldanamycin, 17-deoxyl-17-(2 -propenylamino)- 144363.doc -77- 201032806 (9C1); geldanamycin; fluocinolone; dexamethasone; 2-acrylonitrile, 3-[(4-methylphenyl) Sulfosyl]-, (2E)-(9C1); hydroxy-2-naphthylmethylphosphonic acid; pyrazolone; gallic acid epigallocatechin; sulphuric acid sulfate; vinca sulfate Test; Vindesine; Vinorelbine; Docetaxel; Paclitax Xel); vinorelbine; discoid mollusc; cochicine; epothilone derivative; epothilone B; Epothilone A; Indoleamine, N-[2-[[[3-(4-chlorophenyl)-2-propenyl]indolyl]amino]indolyl]phenyl]-N-(2-hydroxyethyl)- φ 4-methoxy-(9C1); trans-4-iodo, 4'-boranyl-chalcone; succinonitrile, bis[amino[2-aminophenyl)thio]arylene ]-(9C1); Bengamide or its derivatives; Actinonin; gallic acid, gallic acid, gallic acid; marimastat; Prinomastat; metastat; BMS-279251; BAY 12-9566; TAA211; MMI270B; AAJ996; bevacizumab; Ibritumomab tiuxetan; tositumomab Iodine I 131; tyrosine phosphorylation inhibitor AG 879 ; phenol, 4-[4-(4-fluoroindolyl)-5-(4-pyridyl)-1Η-imidazol-2-yl]- (9C1); benzoguanamine, 3-(dimethylamino)-N-[3-[(4-hydroxybenzylidyl)amino]-4-methylphenyl]·(9C1); Damnacanthal; lysine acid deacidification Inhibitor 46; tyrosine phosphorylation inhibitor AG 1296; tyrosine phosphorylation inhibitor 9; 1,3-butadiene-1,1,3-tricarbonitrile, 2-amino-4-(1Η-吲哚-5-yl)-(9Cl); wortmannin; quercetin dihydrate; cantharidic acid; cantharidin; L-leucine guanamine, 144363 .doc -78- 201032806 N-[4-(2-carboxyvinyl)phenylindenyl]glycidyl-L-α-glutamic acid-, (E)-(9C1) ; VISUDYNE ; Porfimer sodium; Carboplatin; Cisplatin; Oxaliplatin; cisplatinum; Satraplatin, such as ZD0473; plaque•acid; ;LP-bromotetrazide oxalate; 2(5H)-furanone, 4-hydroxy-yl-5-(hydroxymethyl)-3-(1-o-oxyhexadecyl)-, (5R )-(9C1); benzylphosphonic acid; 1-1-1-pyrrolo-2,5-dione, 3-[1-[3-(didecylamino)propyl]-1H-indole-3 -yl]-4-(1Η-indol-3-yl)-(9Cl); bis-indenyl-malay Φ quinone imine IX; sphingosine; staurosporine; tyrosine phosphate Inhibitor 51; Hypericin; crude chopped wood (Rottlerin); DMFO; alacinomycin A; gliotoxin; PS-341; MLN 341; bortezomib; Velcade; L- leucine Amine, N-[4-(2-carboxyvinyl)benzhydryl]glycine-L-α-glutamic acid-, (E)-(9C1); tyrosine phosphorylation inhibitor AG 126; tyrosine phosphorylation inhibitor Ag 1288; tyrosine phosphorylation inhibitor Ag 1295; geldanamycin; genistein; PP1; PP2;
A W 1,2-苯二醇,4-[(1Ε)-2-(3,5-二羥基苯基)乙烯基]-(9CI); 酪胺酸磷酸化抑制劑AG 490 ; 2-萘基乙烯基酮;1^-744832 ; DK8G557 ; R115777 ;異維 a酸(Isotretinoin);維 a 酸(Tretinoin);氟達拉濱;ara-C ; 6-硫鳥漂吟;5-FU ;克 拉屈濱;6-毓基嘌吟;噴司他丁(pentostatin) ; 5,6-二氣-1-β-D·呋喃核糖基苯并咪唑;2-胺基嘌呤;特比萘丁 (terbinadine);替洛美他汀(telomestatin);托泊替康 (topotecan); 吉馬替康(gimatecan); 伊立替康 144363.doc -79· 201032806 (irinotecan);喜樹驗(camptothecin) ; 9-确基喜樹驗; PNU-166148 ; 10-羥基喜樹鹼乙酸鹽;依託泊苷 (etoposide);伊達比星(idarubicin)氫氯酸鹽;伊立替康氫 氯酸鹽;替尼泊苷(teniposide);托泊替康氫氯酸鹽;多柔 比星(doxorubicin);表柔比星(epirubicin)氫氯酸鹽;米托 蒽酿(mitoxantrone)氫氯酸鹽;柔紅黴素(daunorubicin)氫 氣酸鹽;多柔比星;表柔比星;伊達比星;奈莫柔比星 (nemorubicin);洛索蒽酿>(losoxantrone);替尼泊普;依託 泊苷;米托蒽醌;1-(4-氣苯胺基)-4-(4-«比啶基甲基)呔嗪 或其醫藥上可接受之鹽;ZD4190 ; ZD6474 ; SU5416 ; SU6668 ;貝伐單抗;rhuMAb ; RHUFab ;哌加他尼鈉 (Macugen);安吉甾姆阿伐斯坦(Angiozyme Avastan) ; 3-(4-二甲基胺基亞苄基)-2-吲哚啉酮;德奴單抗 (denosumab) ° 如本文所用術語「ACE抑制劑」包括但不限於 CIBACEN、貝那普利、依那澤普利(LOTENSIN)、卡托普 利、依那普利、福辛普利、賴諾普利、莫昔普利、喹那普 利、雷米普利、培哚普利及群多普利。 如本文所用術語「腺苷激酶抑制劑」係關於靶向、降低 或抑制核苷鹼基、核苷、核苷酸及核酸新陳代謝之化合 物。腺苷激酶抑制劑之一個實例包括但不限於5-碘代殺結 核菌素,其亦稱作7H-吡咯并[2,3-d]嘧啶-4-胺,5-碘-7-β-D-呋喃核糖基-(9C1)。 如本文所用術語「佐劑」係指可增強5-FU-TS鍵結之化 144363.doc -80- 201032806 合物以及可乾向、降低或抑制驗性填酸酶之化合物。佐劑 之實例包括但不限於甲醯四氫葉酸及左旋咪唾。 如本文所用術語「腎上腺皮質拮抗劑」係關於靶向、降 低或抑制腎上腺皮質之活性並改變皮質類固醇之周邊代 _ 謝’導致17_羥基皮質類固醇減少的化合物。腎上腺皮質 - 拮抗劑之一個實例包括但不限於米托坦。 如本文所用術語「ΑΚΤ途徑抑制劑」係關於靶向、降低 或抑制細胞增生之化合物。Akt,亦稱作蛋白激酶β ❿ (PKB),絲胺酸/蘇胺酸激酶,係糖尿病所涉及若干信號轉 導途徑中之至關重要的酵素。Akt在細胞中之主要作用係 幫助生長因子介導之細胞存活並阻滯凋亡細胞死亡^ AKT 途徑抑制劑之一個靶位包括但不限於Pi3K/AKT。AKT途 徑抑制劑之實例包括但不限於魚藤素,其亦稱作3H_雙⑴ 苯并吡喃并[3,4-1?:6,,5,-6]吡喃-7(7&11)-酮,13,133-二氫-9’1〇_二甲氧基-3,3-二甲基_,(7aS,13aS)-(9Cl);及他克瑞 0賓,其亦稱作1,4,5,6,8-五氮雜二氫苊_3-胺,1,5-二氫-5-曱 基-Ι-β-D-呋喃核糖基_(9C1)。 如本文所用術語「烷基化劑」係關於可造成DNA烷基化 並導致DNA分子斷裂以及雙鏈交聯,進而干擾dNA複製及 RNA轉錄之化合物。烷基化劑之實例包括但不限於苯丁酸 氮芥、環磷醯胺、達卡巴嗪、洛莫司汀、丙卡巴肼、噻替 派、美法侖、替莫唑胺(TEMODAR)、卡莫司汀、異環磷 醯胺、絲裂黴素、六甲嘧胺、白消安、二氯甲基二乙胺氫 氣酸鹽、亞硝基脲(BCNU或GHadel)、鏈脲黴素、及雌莫 144363.doc -81 - 201032806 司>丁。環鱗醢胺可(例如)以其市售形式(例如,商標為 CYCLOSTIN)投與;且異環磷醢胺可以HOLOXAN投與。 如本文所用術語「血管發生抑制劑」係關於靶向、降低 或抑制新血管生成之化合物。血管發生抑制劑之靶位包括 但不限於甲硫胺酸胺基肽酶_2 (MetAP-2)、巨噬細胞炎性 蛋白-1 (ΜΙΡ-1α)、CCL5、TGF-β、脂氧合酶、環氧合酶、 及拓撲異構酶。血管發生抑制劑之間接靶位包括但不限於 ρ21、p53、CDK2、及膠原合成。血管發生抑制劑之實例 包括但不限於夫馬潔林,其稱作2,4,6,8-十四烯二酸,單 [(3R,4S,5S,6R)-5-甲氧基·4-[(2ΙΙ,3Κ_)-2-甲基-3-(3-甲基 _2_ 丁烯基)環氧乙烷基]氧雜螺[2 5]辛_6_基]酯, (2E,4E,6E,8E)-(9CI);紫草素,其亦稱作 二酮,5,8- 二羥基-2-[(1R)-i_羥基_4•曱基_3·戊烯基]_(9CI);曲尼司 特,其亦稱作苯甲酸,2_[[3_(3,4_二甲氧基苯基卜卜側氧 基-2-丙烯基]胺基]_(9(::1);熊果酸;舒拉明;及沙利度 胺。 如本文所用「血管生成抑制性類固醇」包括但不限於阻鬱 滯或抑制血管生成之藥劑,諸如(例如)阿奈可他、曲安西 龍、氫化可的松、U_a•表位氫化皮質醇、u_脫氮皮留 醇、17a-經基孕酮、皮質綱、脫氧皮質朗、筆嗣、雖嗣及 * 地塞米松。 . 如本文所用術語「抗雄激素」係關於可阻滞源自腎上腺 及睾丸之雄激素之作用的化合物’該等雄激素可刺激正常 及惡性前列腺組織生長。抗雄激素之實例包括但不限於尼 144363.doc • 82 - 201032806 魯米特;比卡魯胺(CASODEX),其可按照(例如)在美國專 利第4,636,505號中所揭示來調配。AW 1,2-benzenediol, 4-[(1Ε)-2-(3,5-dihydroxyphenyl)vinyl]-(9CI); tyrosine phosphorylation inhibitor AG 490; 2-naphthyl Vinyl ketone; 1^-744832; DK8G557; R115777; Isotretinoin; Tretinoin; fludarabine; ara-C; 6-sulfur bird raft; 5-FU; Bis; 6-mercaptopurine; pentostatin; 5,6-di-gas-1-β-D-ribofuranosylbenzimidazole; 2-aminopurine; terbinadine ; telomestatin; topotecan; gimatecan; irinotecan 144363.doc -79· 201032806 (irinotecan); camptothecin; 9- sure Tree test; PNU-166148; 10-hydroxycamptothecin acetate; etoposide; idarubicin hydrochloride; irinotecan hydrochloride; teniposide; Topotecan hydrochloride; doxorubicin; epirubicin hydrochloride; mitoxantrone hydrochloride; daunorubicin hydrogen acid Salt; doxorubicin; epirubicin; idabidin; Nemorubicin; losoxantrone; tenipop; etoposide; mitoxantrone; 1-(4-anilino)-4-(4-«pyridinium Methyl)pyridazine or a pharmaceutically acceptable salt thereof; ZD4190; ZD6474; SU5416; SU6668; bevacizumab; rhuMAb; RHUFab; pegaptanib sodium (Macugen); Angiozyme Avastan 3-(4-Dimethylaminobenzylidene)-2-indololinone; denosumab ° The term "ACE inhibitor" as used herein includes, but is not limited to, CIBACEN, benapu LOT, LOTENSIN, captopril, enalapril, fosinopril, lisinopril, moxipril, quinapril, ramipril, perindopril And group Dopply. The term "adenosine kinase inhibitor" as used herein relates to a compound which targets, decreases or inhibits the metabolism of nucleobases, nucleosides, nucleotides and nucleic acids. An example of an adenosine kinase inhibitor includes, but is not limited to, 5-iodo-killing tuberculin, which is also known as 7H-pyrrolo[2,3-d]pyrimidin-4-amine, 5-iodo-7-β- D-ribofuranosyl-(9C1). The term "adjuvant" as used herein refers to a compound which enhances 5-FU-TS linkage 144363.doc-80-201032806 and which is capable of drying, reducing or inhibiting phytase. Examples of adjuvants include, but are not limited to, formazan tetrahydrofolate and levorotatory saliva. The term "adrenal cortical antagonist" as used herein relates to a compound which targets, reduces or inhibits the activity of the adrenal cortex and alters the peripheral progeny of corticosteroids resulting in a decrease in 17-hydroxycorticosteroids. An example of an adrenal cortex-antagonist includes, but is not limited to, mitoxantrone. The term "purine pathway inhibitor" as used herein relates to a compound which targets, decreases or inhibits cell proliferation. Akt, also known as protein kinase beta ❿ (PKB), a serine/threonine kinase, is a key enzyme involved in several signal transduction pathways in diabetes. The major role of Akt in cells helps growth factor-mediated cell survival and arrests apoptotic cell death. One target for AKT pathway inhibitors includes, but is not limited to, Pi3K/AKT. Examples of AKT pathway inhibitors include, but are not limited to, deguelin, which is also known as 3H_bis(1)benzopyrano[3,4-1?:6,5,-6]pyran-7 (7& 11)-ketone, 13,133-dihydro-9'1〇-dimethoxy-3,3-dimethyl-, (7aS,13aS)-(9Cl); and Tacrine 0, also It is called 1,4,5,6,8-pentazaindan-3-amine, 1,5-dihydro-5-mercapto-purine-β-D-ribofuranosyl-(9C1). The term "alkylating agent" as used herein relates to a compound which causes DNA alkylation and which results in DNA molecule cleavage and double-strand cross-linking, thereby interfering with dNA replication and RNA transcription. Examples of alkylating agents include, but are not limited to, chlorambucil, cyclophosphamide, dacarbazine, lomustine, procarbazine, thiotepa, melphalan, temozolomide (TEMODAR), carmust Tetamine, ifosfamide, mitomycin, hexamethamine, busulfan, dichloromethyldiethylamine hydrogenate, nitrosourea (BCNU or GHadel), streptozotocin, and estramustine 144363.doc -81 - 201032806 Division > Ding. Cyclosporin can be administered, for example, in the form as it is marketed (e.g., under the trademark CYCLOSTIN); and ifosfamide can be administered by HOLOXAN. The term "angiogenesis inhibitor" as used herein relates to a compound that targets, decreases or inhibits neovascularization. Targets for angiogenesis inhibitors include, but are not limited to, methionine aminopeptidase-2 (MetAP-2), macrophage inflammatory protein-1 (ΜΙΡ-1α), CCL5, TGF-β, lipoxygenation Enzymes, cyclooxygenases, and topoisomerases. Targeting sites for angiogenesis inhibitors include, but are not limited to, ρ21, p53, CDK2, and collagen synthesis. Examples of angiogenesis inhibitors include, but are not limited to, fumagillin, which is referred to as 2,4,6,8-tetradecenedioic acid, mono[(3R,4S,5S,6R)-5-methoxy·4 -[(2ΙΙ,3Κ_)-2-methyl-3-(3-methyl-2-butenyl)oxiranyl]oxaspiro[2 5]octyl-6-yl]ester, (2E, 4E,6E,8E)-(9CI); shikonin, also known as diketone, 5,8-dihydroxy-2-[(1R)-i-hydroxy- 4 fluorenyl _3·pentenyl ]_(9CI); Tranilast, also known as benzoic acid, 2_[[3_(3,4-dimethoxyphenyl)b-oxy-2-propenyl]amino]_(9 (::1); ursolic acid; suramin; and thalidomide. As used herein, "angiogenesis-inhibiting steroids" include, but are not limited to, agents that block stagnation or inhibit angiogenesis, such as, for example, Anai. But he, triamcinolone, hydrocortisone, U_a• epitope hydrocortisol, u_deazapiritol, 17a-pyprogesterone, cortex, deoxycorticuridine, pen 嗣, although 嗣 and * Dexamethasone. As used herein, the term "antiandrogen" is a compound that blocks the effects of androgens derived from the adrenal gland and the testis. These androgens stimulate normal and malignant Prostate tissue growth. Examples of anti-androgens include, but are not limited to, 144363.doc • 82 - 201032806 luminol; bicalutamide (CASODEX), which can be formulated as disclosed in, for example, U.S. Patent No. 4,636,505. .
如本文所用術語「抗雌激素藥」係關於在雌激素受體層 面上拮抗雌激素作用之化合物。抗雌激素之實例包括但不 限於托瑞米芬;來曲唑;睾内酯;阿那曲唑;比卡魯胺; 氟他胺,獰檬酸他莫昔芬;依西美坦;氟維司群;他莫昔 芬;氟維司群;雷洛昔芬及雷洛昔芬氫氣酸鹽。他莫昔芬 可以其市售形式(例如,NOLVADEX)投與;且雷洛昔芬氫 氯酸鹽可以EVISTA出售。氟維司群可按照在美國專利第 4,659,516號中所揭示來調配且以FASLODEX出售。本發明 包含抗雌激素之醫藥活性劑之組合尤其可用於治療雌激素 受體陽性腫瘤(例如,乳房腫瘤)。 如本文所用術語「抗高鈣血劑」係指可用於治療高鈣血 症之化合物。抗高鈣血劑之實例包括但不限於硝酸鎵(iii) 水合物;及帕米膦酸二鈉。 如本文所用術語「抗白血病化合物」包括但不限於Am— c、嘧啶類似物,其係脫氧胞苦之2,_α_羥基核糖(阿糖胞 苦)衍生物。亦包括次黃嗓呤、6_Μ基嗓呤(6_Μρ)及填酸敦 達拉濱之嗓呤類似物。 令又……‘、哪閗」你關於一種抑制或破壞 DNA合成從而導致細胞死亡之化合物。於此地+丨 G 物。抗代謝劑之實例包 括但不限於6-疏基嗓吟;阿糖胞苷;氟達拉濱;氟尿普; 氟尿嘧啶;卡培他濱;雷替曲塞;胺甲蝶呤;克拉屈濱; 吉西他濱;吉西他濱氫氯酸鹽;硫气戒 ·The term "antiestrogens" as used herein relates to compounds which antagonize the action of estrogen on the estrogen receptor layer. Examples of antiestrogens include, but are not limited to, toremifene; letrozole; testosterone; anastrozole; bicalutamide; flutamide, tamoxifen citrate; exemestane; Division; tamoxifen; fulvestrant; raloxifene and raloxifene hydrogenate. Tamoxifen can be administered in the form as it is marketed (e.g., NOLVADEX); and raloxifene hydrochloride can be sold by EVISTA. Fulvestrant can be formulated and sold as FASLODEX as disclosed in U.S. Patent No. 4,659,516. Combinations of the pharmaceutically active agents comprising antiestrogens of the present invention are particularly useful for treating estrogen receptor positive tumors (e.g., breast tumors). The term "anti-hypercalcemia" as used herein refers to a compound that can be used to treat hypercalcemia. Examples of anti-hypercalcemia agents include, but are not limited to, gallium nitrate (iii) hydrate; and disodium pamidronate. The term "anti-leukemia compound" as used herein includes, but is not limited to, Am-c, a pyrimidine analog, which is a deoxybenzoic 2,_α-hydroxyribose (arabose) derivative. Also included are hypoxanthine, 6_mercaptopurine (6_Μρ) and acid-filled Dundalabine. Let's... ‘,閗 你, you are a compound that inhibits or destroys DNA synthesis and causes cell death. Here + 丨 G things. Examples of antimetabolites include, but are not limited to, 6-mercaptopurine; cytarabine; fludarabine; fluorouracil; fluorouracil; capecitabine; raltitrexed; methotrexate; ; gemcitabine; gemcitabine hydrochloride; sulfur gas ring
,丨1雨布呤,羥基脲;DNA 144363.doc •83- 201032806 去甲基化劑,諸如5_氮雜胞苷及地西他濱;依達曲沙·及 葉酸拮抗劑,諸如(但不限於)培美曲塞。卡培他濱可以(例 如)其市售形式(例如,商品名為XEL〇DA)投與;且吉西他 濱以GEMZAR投與。 如本文所用術語「抗增生性抗體」包括但不限於貝伐單 抗(AVASTIN)、利妥昔單抗(RITUXAN)、pR〇64553 (抗 _ CD40)及2C4抗體。抗體意指(例如)完整單株抗體、多株抗 體由至個完整抗體形成之多特異性抗體及抗體片 #又’只要其展示期望的生物活性。 如本文所用術語「細胞凋亡誘導劑」係關於可在細胞中 誘導一系列正常事件導致細胞死亡之化合物。本發明之細 胞凋亡誘導劑可選擇性地誘導凋亡蛋白XlApi χ連接哺乳 動物抑制劑。本發明之細胞凋亡誘導劑可下調BcL_xL。 細胞凋亡誘導劑之實例包括但不限於乙醇,2_[[3_(2,3 -二 氣苯氧基)丙基]胺基]_(9C1);藤黃酸;恩貝靈,其亦稱作 2,5-環己二烯_丨,4_二酮,2,5_二羥基_3_十一烷基及 三氧化二神。 如本文所用術語rAT1受體拮抗劑」包括但不限於諸如 DIOVAN等藥劑。 如本文所用術語「極光激酶抑制劑」係關於靶向、降低 或抑制從G2/M檢查點一直到有絲分裂檢查點之細胞週期 的後期及有絲分裂後期的化合物。極光激酶抑制劑之一個 實例包括但不限於雙核素2,其亦稱作甲醯亞胺醯胺,Ν,_ [1-(3 -氣-4-氟苯基)-4-氰基-1Η- »比唑_5_基]_ν,Ν-二曱基_ 144363.d〇< -84 - 201032806 (9CI) ° 本文所用術語「芳香酶抑制劑」係關於可抑制雌激素生 產(亦即底物雄烯二酮及睾固酮分別轉化為雌酮及雌二醇) 之化合物。該術語包括但不限於類固醇,尤其是阿他美 . 坦、依西美坦及福美司坦,且具體而言係非類固醇,尤其 • 是胺魯米特、羅穀亞胺(roglethimide)、°比魯米特、曲洛司 坦、睾内S旨、酮康唾(ketokonazole)、伏氯吐、法屈嗤、阿 那曲唑及來曲唑。依西美坦係以AROMASIN出售;福美司 • 坦係以LENTARON出售;法屈唑係以AFEMA出售;阿那 曲唑係以ARIMIDEX出售;來曲唑係以FEMARA或FEMAR 出售;且胺魯米特係以ORIMETEN出售。本發明包含芳香 酶抑制劑之醫藥活性劑的組合尤其可用於治療激素受體陽 性腫瘤(例如乳房腫瘤)。 如本文所用術語「生物反應調節劑」包括但不限於淋巴 因子或干擾素(例如,干擾素γ)。 本文所用術語「雙膦酸化合物」包括但不限於伊曲膦 零 酸、氣膦酸、替魯膦酸、帕米膦酸、阿侖膦酸、伊班膦 酸、利塞膦酸及唑來膦酸。「伊曲膦酸」可(例如)以其市 • 售形式(例如,DIDRONEL)投與;「氣膦酸」可以 . BONEFOS投與;「替魯膦酸」可以SKELID投與;「帕米 膦酸」可以AREDIA投與;「阿侖膦酸」可以FOSAMAX投 與;「伊班膦酸」可以BONDRANAT投與;「利塞膦酸」 可以ACTONEL投與;且「唑來膦酸」可以ΖΟΜΕΤΑ投 與。 144363.doc -85- 201032806 如本文所用術語「布魯頓氏酪胺酸激酶(BTK)抑制劑」 係關於靶向、降低或抑制人類及鼠類B細胞發育之化合 物。BTK抑制劑之一個實例包括但不限於土麯黴酸。 如本文所用術語「鈣神經素抑制劑」係關於靶向、降低 或抑制T細胞活化途徑之化合物。鈣神經素抑制劑之一個 靶位包括蛋白磷酸酶2B。鈣神經素抑制劑之實例包括但不 限於氣氰菊酯,其亦稱作環丙烷甲酸,3_(2,2_二氣乙烯 — 基)-2,2-二曱基_,氰基(3_苯氧基苯基)曱基酯(9C1);溴氰 菊酯,其亦稱作環丙烷甲酸,3_(2,2_二溴乙烯基)_2,2-二 @ 甲基-(S)-氰基(3-苯氧基苯基)曱酯,(1R,3R)_(9Ci);氰戊 菊_ ’其亦稱作苯乙酸’ 4-氯_α_(ι_甲基乙基)_,氰基(3_ 苯氧基苯基)甲基酯(9C1);及酪胺酸磷酸化抑制劑8。 如本文所用術語「CaM激酶II抑制劑」係關於靶向、降 低或抑制CaM激酶之化合物^ CaM激酶構成一結構上相關 之酵素家族’其包括磷酸化酶激酶、肌球蛋白輕鏈激酶及 CaM激酶i-iv。發現CaM激酶η(一種經最佳研究之多功能 酵素)以高濃度存於神經元突觸中且存於腦之某些區域 ^ 中’其可佔總蛋白含量之高達2%。在脊椎動物神經系統 中,CaM激酶II活化與記憶及學習過程相關聯。CaM激酶 Π抑制劑之靶位包括CaM激酶II。CaM激酶Π抑制劑之實例 ’ 包括但不限於5-異喹啉磺酸,4-[(2S)-2-[(5-異喹啉基項醯 基)甲基胺基]-3-側氧基-3-(4-苯基-l-β底嗓基)丙基]笨基醋 (9CI);及苯橫酿胺,Ν-[2-[[[3-(4 -氣笨基)_2_丙稀基]甲美] 胺基]甲基]苯基]-Ν-(2-羥基乙基)-4-甲氧基_(9C1)。 144363.doc -86 - 201032806 如本文所用術語「CD45路胺酸磷酸酶抑制劑」係關於 一種靶向、降低或抑制Src家族蛋白·酪胺酸激酶上之去磷 酸化調節性pTyr殘基的化合物,其有助於治療各種炎性及 免疫病症。CD45酪胺酸磷酸酶抑制劑之一個實例包括但 • 不限於膦酸,[[2-(4-演苯氧基)·5-硝基苯基]羥基甲基^ • (9C1)。 如本文所用術語「CDC25磷酸酶抑制劑」係關於靶向、 降低或抑制腫瘤中過度表現之去碟酸化細胞週期蛋白·依 ❹冑性激酶的化合物。CDC25^酸酶抑制劑之—個實例包括 1,4-萘二 _,2,3-雙[(2-羥基乙基)硫基]_(9(:1)。 如本文所用術語「CHK激酶抑制劑」係關於一種靶向、 降低或抑制抗凋亡蛋白Bel_2之過度表現之化合物。 激酶抑制劑之fe位係CHK1A/slCHK2。CHK激酶抑制劑 之一個實例包括但不限於脫溴曼尼丁。 如本文所用術語「靶向/降低蛋白或脂質激酶活性、或 鲁 蛋白或脂質磷酸酶活性之化合物;或其他抗血管生成化合 物」包括但不限於蛋白酪胺酸激酶及/或絲胺酸及/或蘇胺 酸激酶抑制劑或脂質激酶抑制劑,例如: 乾向、降低或抑制血管内皮生長因子受體(VEGF)活性 之化合物’諸如靶向、降低或抑制VEGF活性之化合物, 尤其是抑制VEGF受體之化合物,諸如但不限於7H_吡咯并 [2,3-d]嘧啶衍生物,包括{6[4_(4乙基哌嗪·丨基曱基)笨 基]_7Η·°比咯并[2,3-d]嘧啶-4-基]-((R)-l-苯基-乙基)_胺; BAY 43-9006 ;揭示於w〇 00/09495中之埃索考琳 144363.doc • 87- 201032806 (isolcho line)化合物,諸如(4 -第三丁基-苯基)-94-0比咬-4-基曱基-異喹啉-1-基)-胺;及 靶向、降低或抑制血小板源生長因子受體(PDGFR)活性 之化合物,諸如把向、降低或抑制PDGFR活性之化合物, 尤其是抑制PDGF受體之化合物,例如,N-苯基-2-嘧啶-胺 _ 衍生物,例如,伊馬替尼、SU101、SU6668及GFB-111 ; 靶向、降低或抑制纖維母細胞生長因子受體(FGFR)活性 之化合物; 靶向、降低或抑制胰島素樣生長因子受體1 (IGF-1R)活 ⑩ 性之化合物,諸如靶向、降低或抑制IGF-IR活性之化合 物,尤其是抑制IGF-1R受體之化合物。化合物包括但不限 於揭示於WO 02/092599中之化合物及其衍生物,4-胺基-5-苯基-7-環丁基-吡咯并[2,3-<1]嘧啶衍生物(入£\^541); 靶向、降低或抑制Trk受體酪胺酸激酶家族活性之化合 物; 靶向、降低或抑制Axl受體酪胺酸激酶家族活性之化合 物; ❿ 靶向、降低或抑制c-Met受體活性之化合物; 靶向、降低或抑制Ret受體酪胺酸激酶活性之化合物; 靶向、降低或抑制Kit/SCFR受體酪胺酸激酶活性之化合 物; 靶向、降低或抑制C-kit受體酪胺酸激酶-(PDGFR家族之 一部分)活性之化合物,諸如靶向、降低或抑制c-Kit受體 酪胺酸激酶家族活性之化合物,尤其是抑制c-Kit受體之化 144363.doc -88 - 201032806 合物,例如,伊馬替尼; 乾向、降低或抑制c-AM家族成員及其基因融合產物(例 如,BCR-Abl激酶)之化合物,諸如靶向、降低或抑制e-Abl家族成員及其基因融合產物活性之化合物’例如’ N-苯基-2-嘧啶-胺衍生物,例如,伊馬替尼、PD180970、 AG957 ' NSC 68041 0 或來自 ParkeDavis 之 PD 1 73955 ' BMS-354825 ; 把向、降低或抑制下列物質之活性之化合物:蛋白激酶 〇 C(PKC)及絲胺酸/蘇胺酸激酶之Raf家族之成員、MEK、 SRC、JAK、FAK、PDK之成員及Ras/MAPK家族成員、或 PI(3)激酶家族成員、或PI(3)激酶相關激酶家族之成員、 及/或細胞週期調節蛋白依賴性激酶家族(CDK)之成員且尤 其是彼等揭示於美國專利第5,093,330號中之星形孢菌素衍 生物,例如,米哚妥林;其他化合物之實例包括(例 如)UCN-01、沙芬戈、BAY 43-9006、苔蘚抑素1、哌立福 辛;伊莫福辛;RO 318220 及 RO 320432 ; GO 6976 ; Isis ® 3 521 ; LY333 531/LY3 79196 ;異喹啉化合物,諸如彼等揭 示於 WO 00/09495 中者;FTIs ; PD184352 或 QAN697, . P13K抑制劑; 靶向、降低或抑制蛋白-酪胺酸激酶活性之化合物,諸 如伊馬替尼甲磺酸鹽(GLEEVEC);酪胺酸磷酸化抑制劑或 嘧啶基胺基苯曱醯胺及其衍生物。一酪胺酸磷酸化抑制劑 較佳為低分子量(Mr < 1500)化合物或其醫藥上可接受之 鹽,尤其係選自亞苄基丙二腈類之化合物或S-芳基苯丙二 144363.doc -89· 201032806 腈或雙基質喹啉類化合物’更具體而言,為任一選自由下 列組成之群之化合物:酪胺酸磷酸化抑制劑八23/汉〇-5 0810、AG 99、酪胺酸磷酸化抑制劑AG 213、酪胺酸磷 酸化抑制劑AG 1748、酪胺酸磷酸化抑制劑AG 490、酪胺 酸磷酸化抑制劑B44、酪胺酸磷酸化抑制劑B44(+)對映異 構體、酷胺酸麟酸化抑制劑AG 5 5 5、AG 494、酷·胺酸鱗 酸化抑制劑AG 556 ; AG957及阿達福;丁(4-{[(2,5-二經基苯 基)甲基]胺基}-苯甲酸金剛烷基酯、NSC 680410、阿達福 汀); 當提及抗體時,其欲包括完整單株抗體、奈米抗體、多 株抗體、由至少2個完整抗體形成之多特異性抗體及抗體 片段’只要其呈現期望生物活性即可。 如本文所用短語「靶向、降低或抑制蛋白或脂質磷酸酶 活性之化合物」包括但不限於磷酸酶1、磷酸酶2A、PTEN 或CDC25之抑制劑’例如,黑軟海綿素八或其衍生物。 短其他抗血管生成化合物」包括但不限於對其活性 、 機制(例如,與蛋白或脂質激酶抑制作用無關)之 〇物例如,沙利度胺(THALOMID)及TNP-470。 如本文所用短語 不限於視黃酸、α 盼。 「誘導細胞分裂進程之化合物」包括但 、γ-或δ-生育酚或α_、7_或§_生育三烯 Γ用於調節染料木黃 酸墙酸化抑制劑」之實$羅莫星及/或路胺 作觀·笨并μ ΓΓ 限於黃豆其亦稱 酮,7-羥基-3-(4-羥基苯基)_(9(:1);異 144363.doc 201032806 奥羅莫星及酪胺酸磷酸化抑制劑j。, 丨1 雨布呤, hydroxyurea; DNA 144363.doc •83- 201032806 Demethylating agents, such as 5-azacitidine and decitabine; edarshasha and folic acid antagonists, such as (but not Limited to pemetrexed. Capecitabine can be administered, for example, in the form as it is marketed (e.g., under the tradename XEL(R) DA; and gemcitabine is administered as GEMZAR. The term "anti-proliferative antibody" as used herein includes, but is not limited to, bevacizumab (AVASTIN), rituximab (RITUXAN), pR〇64553 (anti-CD40), and 2C4 antibodies. By antibody is meant, for example, an intact monoclonal antibody, a multi-antibody from a multi-specific antibody formed by an intact antibody, and an antibody sheet #' as long as it exhibits the desired biological activity. The term "apoptosis-inducing agent" as used herein relates to a compound which induces a series of normal events in a cell to cause cell death. The apoptosis inducing agent of the present invention selectively induces an apoptotic protein X1Api χ linked to a mammalian inhibitor. The apoptosis inducing agent of the present invention can downregulate BcL_xL. Examples of apoptosis inducing agents include, but are not limited to, ethanol, 2_[[3_(2,3-diphenoxy)propyl]amino]-(9C1); gambogic acid; Enbeline, which is also known As 2,5-cyclohexadiene_丨, 4_dione, 2,5-dihydroxy_3_undecyl and dioxane. The term rAT1 receptor antagonist as used herein includes, but is not limited to, agents such as DIOVAN. The term "aurora kinase inhibitor" as used herein relates to a compound that targets, decreases or inhibits the late phase of the cell cycle from the G2/M checkpoint to the mitotic checkpoint and late mitosis. An example of an Aurora kinase inhibitor includes, but is not limited to, Dinuclear 2, which is also known as the indoleamine, hydrazine, _ [1-(3- gas-4-fluorophenyl)-4-cyano-1? - »比唑_5_基]_ν,Ν-二曱基_ 144363.d〇< -84 - 201032806 (9CI) ° The term "aromatase inhibitor" as used herein relates to inhibiting estrogen production (ie The compounds of the androstenedione and testosterone are converted to estrone and estradiol, respectively. The term includes, but is not limited to, steroids, especially armetame, exemestane, and formestane, and in particular non-steroids, especially • amine lutimidate, rogamine (roglethimide), ph bilu Mitt, Trilostat, Testosterone, Ketokonazole, Voltux, Fructus, Anastrozole and Letrozole. Exemestane is sold as AROMASIN; fulmes are sold as LENTARON; famotazole is sold as AFEMA; anastrozole is sold as ARIMIDEX; letrozole is sold as FEMARA or FEMAR; and amine lutite Sold by ORIMETEN. Combinations of pharmaceutically active agents comprising an aromatase inhibitor of the present invention are particularly useful for treating hormone receptor positive tumors (e.g., breast tumors). The term "biological response modifier" as used herein includes, but is not limited to, lymphokines or interferons (e.g., interferon gamma). The term "bisphosphonic acid compound" as used herein includes, but is not limited to, itraphosphine zero acid, phosphinic acid, tiludronic acid, pamidronic acid, alendronate, ibandronic acid, risedronate, and azole. Phosphonic acid. "Itrexine acid" can be administered, for example, in the form of a commercial form (for example, DIDRONEL); "phosphonate" can be administered by BONEFOS; "tilutinic acid" can be administered by SKELID; "Pamidronate "Acid" can be administered by AREDIA; "Alendronic acid" can be administered by FOSAMAX; "Ibandronic acid" can be administered by BONDRANAT; "Lesendronic acid" can be administered by ACTENEL; and "zoledronic acid" can be administered versus. 144363.doc -85- 201032806 The term "brutton tyrosine kinase (BTK) inhibitor" as used herein relates to a compound that targets, reduces or inhibits the development of human and murine B cells. An example of a BTK inhibitor includes, but is not limited to, aflatoxin. The term "calcinin inhibitor" as used herein relates to a compound which targets, decreases or inhibits the T cell activation pathway. One target of calcineurin inhibitors includes protein phosphatase 2B. Examples of calcineurin inhibitors include, but are not limited to, cypromethrin, which is also known as cyclopropanecarboxylic acid, 3-(2,2-diethylene-yl)-2,2-diindolyl, cyano (3) _Phenoxyphenyl)decyl ester (9C1); deltamethrin, also known as cyclopropanecarboxylic acid, 3_(2,2-dibromovinyl)_2,2-di@methyl-(S) -Cyano(3-phenoxyphenyl)decyl ester, (1R,3R)_(9Ci); fenvalerate _ 'which is also known as phenylacetic acid' 4-chloro-α_(ι_methylethyl) _, cyano (3 phenoxyphenyl) methyl ester (9C1); and tyrosine phosphorylation inhibitor 8. The term "CaM kinase II inhibitor" as used herein relates to a compound that targets, reduces or inhibits CaM kinase. CaM kinase constitutes a structurally related family of enzymes, including phosphorylase kinase, myosin light chain kinase and CaM. Kinase i-iv. It has been found that CaM kinase η (a best-acting multifunctional enzyme) is present in high concentrations in neuronal synapses and is present in certain regions of the brain where it can account for up to 2% of total protein content. In the vertebrate nervous system, CaM kinase II activation is associated with memory and learning processes. Targets for CaM kinase Π inhibitors include CaM kinase II. Examples of CaM kinase inhibitors include, but are not limited to, 5-isoquinoline sulfonic acid, 4-[(2S)-2-[(5-isoquinolinylindolyl)methylamino]-3- side Oxy-3-(4-phenyl-l-β-mercapto)propyl] styrene vinegar (9CI); and benzotrienamine, Ν-[2-[[[3-(4-) ) _2 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 144363.doc -86 - 201032806 The term "CD45 glutamate phosphatase inhibitor" as used herein relates to a compound which targets, decreases or inhibits the dephosphorylation of regulatory pTyr residues on Src family protein tyrosine kinases. It helps to treat a variety of inflammatory and immune disorders. An example of a CD45 tyrosine phosphatase inhibitor includes, but is not limited to, phosphonic acid, [[2-(4- phenoxy)·5-nitrophenyl]hydroxymethyl^ (9C1). The term "CDC25 phosphatase inhibitor" as used herein relates to a compound which detargets, reduces or inhibits the overexpression of cyclin-dependent kinases in tumors. An example of a CDC25 acidase inhibitor includes 1,4-naphthalene di-, 2,3-bis[(2-hydroxyethyl)thio]-(9(:1). The term "CHK kinase" as used herein. An inhibitor is a compound that targets, reduces or inhibits the overexpression of the anti-apoptotic protein Bel_2. The fe inhibitor of the kinase is CHK1A/slCHK2. One example of a CHK kinase inhibitor includes, but is not limited to, debromomannine. The term "a compound that targets/reduces protein or lipid kinase activity, or a protein or lipid phosphatase activity; or other anti-angiogenic compound" as used herein includes, but is not limited to, protein tyrosine kinase and/or serine and / or a sulphate kinase inhibitor or a lipid kinase inhibitor, for example: a compound that is dry, reduces or inhibits vascular endothelial growth factor receptor (VEGF) activity, such as a compound that targets, decreases or inhibits VEGF activity, particularly inhibition a compound of the VEGF receptor, such as, but not limited to, a 7H-pyrrolo[2,3-d]pyrimidine derivative, including {6[4_(4ethylpiperazine·indolyl)phenyl]_7Η·° And [2,3-d]pyrimidin-4-yl]-((R)-l-phenyl-ethyl)-amine; BAY 43-900 6; revealed in Essauline 144363.doc in w〇00/09495 • 87- 201032806 (isolcho line) compounds, such as (4 - tert-butyl-phenyl)-94-0 than bite-4-yl a thiol-isoquinolin-1-yl)-amine; and a compound that targets, decreases or inhibits platelet-derived growth factor receptor (PDGFR) activity, such as a compound that targets, decreases or inhibits PDGFR activity, particularly inhibits PDGF Receptor compounds, for example, N-phenyl-2-pyrimidine-amine derivatives, for example, imatinib, SU101, SU6668, and GFB-111; targeting, reducing or inhibiting fibroblast growth factor receptor (FGFR) An active compound; a compound that targets, decreases or inhibits insulin-like growth factor receptor 1 (IGF-1R) activity, such as a compound that targets, decreases or inhibits IGF-IR activity, particularly inhibits IGF-1R Compound of the body. Compounds include, but are not limited to, the compounds disclosed in WO 02/092599 and derivatives thereof, 4-amino-5-phenyl-7-cyclobutyl-pyrrolo[2,3-<1]pyrimidine derivatives ( a compound that targets, reduces or inhibits the activity of the Trk receptor tyrosine kinase family; a compound that targets, decreases or inhibits the activity of the Axl receptor tyrosine kinase family; ❿ targets, reduces or inhibits a compound that c-Met receptor activity; a compound that targets, decreases or inhibits the activity of the Ret receptor tyrosine kinase; a compound that targets, decreases or inhibits the activity of the Kit/SCFR receptor tyrosine kinase; targets, decreases or Compounds that inhibit the activity of the C-kit receptor tyrosine kinase- (part of the PDGFR family), such as compounds that target, reduce or inhibit the activity of the c-Kit receptor tyrosine kinase family, particularly the c-Kit receptor 144363.doc -88 - 201032806 compounds, for example, imatinib; compounds that dry, reduce or inhibit c-AM family members and their gene fusion products (eg, BCR-Abl kinase), such as targeting, reduction Or a compound that inhibits the activity of e-Abl family members and their gene fusion products For example, 'N-phenyl-2-pyrimidine-amine derivatives, for example, imatinib, PD180970, AG957 'NSC 68041 0 or PD 1 73955 'BMS-354825 from Parke Davis; to direct, reduce or inhibit the activity of Compounds: members of the protein kinase 〇C (PKC) and the Raf family of serine/threonine kinases, members of MEK, SRC, JAK, FAK, PDK, and Ras/MAPK family members, or PI(3) kinase family a member, or a member of the PI(3) kinase-associated kinase family, and/or a member of the cell cycle regulatory protein-dependent kinase family (CDK), and in particular, the staurosporine derivative disclosed in U.S. Patent No. 5,093,330 For example, militalin; examples of other compounds include, for example, UCN-01, Safingo, BAY 43-9006, bryostatin 1, perifosine; imofosin; RO 318220 and RO 320432 GO 6976 ; Isis ® 3 521 ; LY333 531/LY3 79196 ; Isoquinoline compounds, such as those disclosed in WO 00/09495; FTIs; PD184352 or QAN697, . P13K inhibitors; targeting, reducing or inhibiting proteins a compound of tyrosine kinase activity, such as Ima Tini mesylate (GLEEVEC); tyrosine phosphorylation inhibitor or pyrimidinyl benzoguanamine and its derivatives. The tyrosine phosphorylation inhibitor is preferably a low molecular weight (Mr < 1500) compound or a pharmaceutically acceptable salt thereof, especially a compound selected from the group consisting of benzalmalononitrile or S-aryl phenylpropane 144363.doc -89· 201032806 Nitrile or double matrix quinoline compound 'more specifically, any compound selected from the group consisting of tyrosine phosphorylation inhibitor 八23/汉〇-5 0810, AG 99, tyrosine phosphorylation inhibitor AG 213, tyrosine phosphorylation inhibitor AG 1748, tyrosine phosphorylation inhibitor AG 490, tyrosine phosphorylation inhibitor B44, tyrosine phosphorylation inhibitor B44 ( +) Enantiomer, urethane sulphate inhibitor AG 5 5 5, AG 494, sulphate sulphate inhibitor AG 556; AG957 and adafu; butyl (4-{[(2,5-) Di-phenylphenyl)methyl]amino}-benzoic acid adamantyl ester, NSC 680410, adaflufen); when referring to an antibody, it is intended to include intact monoclonal antibodies, nano antibodies, multiple antibodies, Multispecific antibodies and antibody fragments formed from at least 2 intact antibodies are as long as they exhibit the desired biological activity. The phrase "a compound that targets, decreases or inhibits protein or lipid phosphatase activity" as used herein includes, but is not limited to, inhibitors of phosphatase 1, phosphatase 2A, PTEN or CDC25, eg, ephedrine-8 or its derivatives Things. Short other anti-angiogenic compounds include, but are not limited to, steroids such as thalidomide (THALOMID) and TNP-470 for their activity, mechanism (e.g., independent of protein or lipid kinase inhibition). The phrase as used herein is not limited to retinoic acid, alpha expectation. "Compounds that induce cell division processes" include, but gamma- or delta-tocopherol or α_, 7_ or §_tocotrienol for the regulation of dye lignin walling inhibitors. Or alkalamine for observation, stupid and μ ΓΓ limited to soybeans, also known as ketone, 7-hydroxy-3-(4-hydroxyphenyl)_(9(:1);iso 144363.doc 201032806 Oromol and tyramine Acid phosphorylation inhibitor j.
如本文所用術語「環氧合酶抑制劑」包括但不限於(例 如)C〇X-2抑制劑。如本文所用術語「(:〇12抑制劑」係關 於靶向、降低或抑制酵素cox_2 (環氧合酶_2)之化合物。 COX-2抑制劑之實例包括但不限於m•叫丨哚·弘乙醢胺,卜 (4-氣苯曱醯基)_5_曱氧基_2_甲基_N_(2_苯基乙基)_(9ci) ·, 5-烷基取代之2-芳基胺基笨基乙酸及衍生物,諸如塞來考 昔(CELEBREX)、羅非考昔(νιοχχ)、依託考昔伐地考 昔;或5-烷基-2-芳基胺基苯基乙酸,例如,5_甲基 氯-6-氣笨胺基)苯基乙酸、魯米考昔;及塞來考昔。 如本文所用術語「CRAF激酶抑制劑」係關於一種靶 向、降低或抑制E-選擇蛋白及受TNF誘導之血管黏附分子· 1上調之化合物。Raf激酶作為細胞外信號調節激酶在細胞 分裂、增生及凋亡中起重要作用。cRAF激酶抑制劑之一 個靶位包括但不限於RAF 1。cRAF激酶抑制劑之實例包括 但不限於3-(3,5-二溴-4-羥基亞苄基)_5_碘二氫吲哚_2_ 酮,及本甲醢胺,3-(二曱基胺基)_n-[3_[(4-經基苯甲醯基) 胺基]-4-甲基苯基]_(9C1)。 如本文所用術語「細胞週期蛋白依賴性激酶抑制劑」係 關於一種靶向、降低或抑制細胞週期蛋白依賴性激酶之化 合物’其在哺乳動物細胞週期調節中起作用。細胞週期進 展可藉由一系列依序事件來調節,該等事件包括細胞週期 蛋白依賴性激酶(Cdks)及細胞週期蛋白之活化及後續失 活。Cdk係一組可藉由結合其調節亞單位,細胞週期蛋白 144363.doc -91 - 201032806 來形成活性雜一體複合物之絲胺酸/蘇胺酸激酶。細胞週 期蛋白依賴性激酶抑制劑之把位之實例包括但不限於 CDK、AHR、CDK1、CDK2、CDK5、CDK4/6、 GSK3beta、及ERK。細胞週期蛋白依賴性激酶抑制劑之實 例包括但不限於N9-異丙基-奥羅莫星;奥羅莫星;普爾伐 諾6,其亦稱作苯曱酸,2-氣-4-[[2-[[(1尺)-1-(經基甲基)_2- 曱基丙基]胺基]-9-(1-甲基乙基)-9H-嘌呤-6-基]胺基]- · (9CI),細胞週期蛋白依賴激酶;錠玉紅,其亦稱作2h_〇弓丨 «朵-2-酿| ’ 3-(1,3-二氫-3-側氧基-2H-吲哚-2-亞基)-1,3-二 ▲ 氫_(9CI);肯寶龍,其亦稱作吲哚并[3 24^]笨丙氮卓_ 6(5H)-_ ’ 9-溴-7,12-二氫-(9CI);普爾伐諾A,其亦稱作 1-丁醇’ 2-[[6-[(3-氣苯基)胺基]-9-(1-曱基乙基)_9H-嘌呤- 2_基]胺基]甲基-,(2R)- (9CI);及靛玉紅-3,-單肟。 如本文所用術語「半胱胺酸蛋白酶抑制劑」係關於一種 粗向、降低或抑制半胱胺酸蛋白酶之化合物,其在哺乳動 物細胞更新及凋亡中起重要作用。半胱胺酸蛋白酶抑制劑The term "cyclooxygenase inhibitor" as used herein includes, but is not limited to, for example, a C〇X-2 inhibitor. The term "(: 〇12 inhibitor" as used herein relates to a compound that targets, reduces or inhibits the enzyme cox_2 (cyclooxygenase-2). Examples of COX-2 inhibitors include, but are not limited to, m• 丨哚 丨哚Hongyi amide, Bu (4-benzophenanthryl)_5_decyloxy_2_methyl_N_(2_phenylethyl)_(9ci) ·, 5-alkyl substituted 2-aryl Alkyl streptoacetic acid and derivatives, such as celecoxib (CELEBREX), rofecoxib (νιοχχ), etorizoxib, or 5-alkyl-2-arylaminophenylacetic acid, for example, 5-methylchloro-6-azinoamino)phenylacetic acid, luminaceta; and celecoxib. The term "CRAF kinase inhibitor" as used herein relates to a compound that targets, decreases or inhibits E-selectin and up-regulation of TNF-induced vascular adhesion molecules. Raf kinase plays an important role in cell division, proliferation and apoptosis as an extracellular signal-regulated kinase. One of the targets of cRAF kinase inhibitors includes, but is not limited to, RAF 1. Examples of cRAF kinase inhibitors include, but are not limited to, 3-(3,5-dibromo-4-hydroxybenzylidene)-5-iodoindolin-2-one, and the present formamide, 3-(didecyl) Amino)_n-[3_[(4-carbyl benzhydryl)amino]-4-methylphenyl]-(9C1). The term "cyclin-dependent kinase inhibitor" as used herein relates to a compound that targets, decreases or inhibits cyclin-dependent kinases, which plays a role in mammalian cell cycle regulation. Cell cycle progression can be regulated by a series of sequential events, including cyclin-dependent kinases (Cdks) and activation and subsequent inactivation of cyclins. A group of Cdk can form a serine/threonine kinase of an active heteroal complex by binding to its regulatory subunit, cyclin 144363.doc -91 - 201032806. Examples of targeting of cell cycle protein-dependent kinase inhibitors include, but are not limited to, CDK, AHR, CDK1, CDK2, CDK5, CDK4/6, GSK3beta, and ERK. Examples of cyclin-dependent kinase inhibitors include, but are not limited to, N9-isopropyl-ornomostar; Oromol; Pulvanox 6, also known as benzoic acid, 2-gas-4-[ [2-[[(1 ))-1-(yl)methyl)_2-mercaptopropyl]amino]-9-(1-methylethyl)-9H-indol-6-yl]amino ]- · (9CI), cyclin-dependent kinase; ingot jade red, which is also known as 2h_〇弓丨«多-2-糖|' 3-(1,3-dihydro-3-o-oxyl- 2H-吲哚-2-ylidene)-1,3-di▲ Hydrogen_(9CI); Ken Baolong, which is also known as 吲哚[3 24^] 笨丙氮卓_ 6(5H)-_ ' 9-Bromo-7,12-dihydro-(9CI); Pulvanox A, which is also known as 1-butanol '2-[[6-[(3-phenylphenyl)amino]-9-( 1-mercaptoethyl)_9H-indole-2-yl]amino]methyl-, (2R)-(9CI); and indirubin-3,-monoterpene. The term "cysteine protease inhibitor" as used herein relates to a compound which coarsens, reduces or inhibits cysteine protease, which plays an important role in mammalian cell renewal and apoptosis. Cysteine protease inhibitor
之一個實例包括但不限於4-嗎啉曱醯胺,N-[(lS)-3-氟-2_ Q 側氧基-1-(2-苯基乙基)丙基]胺基]_2_侧氧基_丨_(苯基曱基) 乙基]-(9C1)。 如本文所用術語「DNA嵌入劑」係關於一種結合DNA並 抑制DNA、RNA及蛋白合成之化合物。〇να嵌入劑之實例 包括但不限於普卡黴素及更生黴素。 如本文所用術語「DNA鍵斷裂劑」係關於一種造成DNA 鍵分裂並抑制DNA合成、抑制RNA及蛋白合成之化合物。 144363.doc -92· 201032806 DNA鏈斷裂劑之一個實例包括但不限於博來黴素。 如本文所用術語「E3連接酶抑制劑」係關於一種靶向 降低或抑制E3連接酶之化合物,其可抑制遍在 ° 白至蛋白An example of which includes, but is not limited to, 4-morpholinium amide, N-[(lS)-3-fluoro-2_Q pendant oxy-1-(2-phenylethyl)propyl]amino]_2_ Side oxy-丨-(phenylphenyl)ethyl]-(9C1). The term "DNA intercalator" as used herein relates to a compound which binds DNA and inhibits DNA, RNA and protein synthesis. Examples of 〇να intercalators include, but are not limited to, pucamycin and dactinomycin. The term "DNA bond cleavage agent" as used herein relates to a compound which causes DNA bond division and inhibits DNA synthesis, inhibits RNA and protein synthesis. 144363.doc -92· 201032806 One example of a DNA strand breakage agent includes, but is not limited to, bleomycin. The term "E3 ligase inhibitor" as used herein relates to a compound that targets to reduce or inhibit E3 ligase, which inhibits ubiquitination.
之轉移’標明其在蛋白酶體中之降解。E3連接酶抑制劑之 實例包括但不限於N-((3,3,3_三氣士三I甲基W WThe transfer 'marks its degradation in the proteasome. Examples of E3 ligase inhibitors include, but are not limited to, N-((3,3,3_three gas, three I methyl W W
胺。 S 如本文所用術語「EDG黏合劑」包括但不限於—類可調 控淋巴細胞再循環之免疫抑制劑,諸如FTY72〇。 °amine. S. The term "EDG binder" as used herein includes, but is not limited to, an immunosuppressive agent that controls lymphocyte recirculation, such as FTY72. °
如本文所用術語「内分泌激素」係關於一種藉由主要作 用於垂體腺來造成雄性激素受抑制(淨效應係睾酮減少至 閣割位準)之化合物。在雌性中,卵巢雌激素及雄激素合 成受到抑制。内分泌激素之一個實例包括但不限於亮丙= 林及乙酸甲地孕酮。 如本文所用術語「法呢醯基轉移酶抑制劑」係關於一種 靶向、降低或抑制Ras蛋白之化合物,其通常在癌症中異 常活躍。法呢醯基轉移酶抑制劑之一個靶位包括但不限於 RAS。法呢醯基轉移酶抑制劑之實例包括但不限於a_羥基 法呢基膦酸;丁酸,2-[[(2S)-2-[[(2S,3S)-2-[[(2R)-2·胺基-3-巯基丙基]胺基]-3-曱基戊基]氧基]側氧基_3_苯基丙 基]胺基]-4-(甲基續醯基)-,1·甲基乙酯,(2s)_(9ci);及手 黴素A。 如本文所用術語「Flk-1激酶抑制劑」係關於一種靶 向、降低或抑制Flk-1酷胺酸激酶活性之化合物。Fik-1激 酶抑制劑之一個靶位包括但不限於KDR。Flk-1激酶抑制劑 144363.doc •93· 201032806 之個實例包括但不限於2-丙烯醯胺,2-氰基-3-[4-羥基· 3,5雙(1-甲基乙基)苯基]_^^_(3_苯基丙基)_ ,(2e)_(9ci)。 如本文所用短語「靶向、降低或抑制Flt_3S性之化合物」 包括但不限於抑制Fh-3之化合物、蛋白或抗體,例如,N_ 苯甲醯基·星形抱菌素、米n朵妥林、星形抱菌素衍生物、 SU11248及 MLN518。 如本文所用術語「戈那瑞林拮抗劑」包括但不限於阿巴 瑞克、戈舍瑞林及戈舍瑞林乙酸鹽。戈舍瑞林揭示於美國 專利第4,1〇〇,274號中且以Z〇LADEX出售。阿巴瑞克可按 照(例如)美國專利第5,843,9〇1號中所揭示調配。 如本文所用術語「糖原合酶激酶_3 (GSK3)抑制劑」係 關於種把向、降低或抑制糖原合酶激酶_3 (GSK3)之化 合物。糖原合酶激酶_3 (GSK_3; τ蛋白激酶丨)(一種高度保 守 '普遍表現之絲胺酸/蘇胺酸蛋白激酶)參與多個細胞過 程之信號轉導級聯,其係一種經證實參與各種各樣細胞功 能調節(包括蛋白合成、細胞增生、細胞分裂、微管組裝/ 拆散及凋亡)之蛋白激酶。GSK3抑制劑之一個實例包括但 不限於靛玉紅-3,-單肪。 如本文所用術語「類肝素酶抑制劑」係指靶向、降低或 抑制硫酸肝素降解之化合物。該術語包括但不限於ρι_ 88 ° 如本文所用短語「用於治療惡性血液病之化合物」包括 但不限於FMS樣酪胺酸激酶抑制劑,例如,靶向、降低或 抑制FMS樣酪胺酸激酶受體(Flt_3R)活性之化合物;干擾 144363.doc -94- 201032806 素、l-b-D-阿糖呋喃胞嘧啶(ara_c)及必速凡;及alk抑制 劑’例如’靶向、降低或抑制退行型淋巴瘤激酶之化合 物。 如本文所用術語「組蛋白脫乙醯基酶(HDAC)抑制劑」 係關於一種可抑制組蛋白脫乙醯基酶並擁有抗增生活性之 ' 化合物。此包括但不限於揭示於WO 02/22577中之化合 物’尤其是N-羥基-3-[4-[[(2-羥乙基)[2-(1Η-吲哚-3-基)乙 基]-胺基]甲基]苯基]·2Ε-2-丙烯醯胺、及N-羥基-3-[4-[[[2· ^ (2_甲基_1Η_吲哚_3_基)_乙基]-胺基]甲基]苯基]-2Ε-2-丙烯 醯胺及其醫藥上可接受之鹽(LBH589)。其進一步包括環庚 醯基苯胺異羥肟酸(SAHA) ; [4_(2_胺基_苯基胺基甲醯基)_ 苄基]-胺基甲酸吡啶_3_基曱基酯及其衍生物;丁酸、吡咯 醯胺、曲古抑菌素A、奥沙伐汀、阿比西丁、縮肽;德布 德辛及曲譜辛。其他實例包括德布德辛;He毒素,其亦 稱作環[L-丙胺醯基_D_丙胺醯*_(aS,2S)_a_胺基側氧基 • 環氧乙烧辛醯基-D-脯胺醯基](9ci);苯基丁酸鈉,環庚 醯基雙-異羥肟酸;及曲古抑菌素Α。 如本文所用短語「含有皮質類固醇之植入物」包括但不 限於諸如(例如)膚輕鬆及地塞米松等藥劑。 如本文所用術語「j_K B_a激酶抑制劑(IKK)」係關於一 種靶向、降低或抑制nf_kB之化合物。ΙΚΚ抑制劑之實例 包括但不限於2-丙烯腈,3_[(4_曱基苯基)磺醯基]_,(2Ε)_ (9C1) 〇 如本文所用術語「胰島素受體酪胺酸激酶抑制劑」係關 144363.doc -95- 201032806 於一種可調節磷脂醯肌醇3-激酶、微管相關蛋白及S6激酶 之活性的化合物。胰島素受體酪胺酸激酶抑制劑之實例包 括但不限於羥基-2-萘基曱基膦酸。 如本文所用術語「c-Jun N-終端激酶(JNK)激酶抑制劑」 係關於一種乾向、降低或抑制Jun N-終端激酶之化合物。 Jun N-終端激酶(JNK)( —種絲胺酸指導之蛋白激酶)參與c-Jun及ATF2之填酸化及活化且在新陳代謝、生長、細胞分 裂及凋亡中起重要作用。JNK激酶抑制劑之靶位包括但不 限於DNMT。JNK激酶抑制劑之實例包括但不限於吡唑蒽 酮及/或沒食子酸表沒食子兒茶素酯。 如本文所用術語「微管黏合劑」係指可藉由破壞微管網 路之化合物,其對有絲分裂及分裂期間細胞功能十分重 要。微管黏合劑之實例包括但不限於硫酸長春鹼;硫酸長 春新鹼;長春地辛;長春瑞濱;多西他賽;紫杉醇;長春 瑞濱;盤形德莫利得;秋水仙鹼及埃坡黴素及其衍生物, 例如,埃坡黴素B或其衍生物。紫杉醇係以TAXOL出售; 多西他賽係以TAXOTERE出售;硫酸長春鹼係以 VINBLASTIN R.P出售;且硫酸長春新鹼係以FARMISTIN 出售。亦包括一般形式之紫杉醇以及各種劑型之紫杉醇。 紫杉醇之一般形式包括但不限於倍他洛爾(betaxolol)氫氣 酸鹽。紫杉醇之各種劑型包括但不限於以ABRAXANE出 售之白蛋白奈米粒子紫杉醇、ONXOL、CYTOTAX。可按 照在(例如)美國專利第5,010,099號中所揭示來獲得盤形德 莫利得。亦包括埃坡黴素衍生物,其揭示於美國專利第 144363.doc -96- 201032806 6,194,181 號、WO 98/10121 、WO 98/25929、WO 98/08849、WO 99/43653、WO 98/22461 及 WO 00/31247 中。尤其佳者係埃坡黴素A及/或B ^ 如本文所用術語「促細胞分裂蛋白(MAP)激酶-抑制劑」 •係關於靶向、降低或抑制促細胞分裂蛋白之化合物。促細 • 胞分裂蛋白(MAP)激酶係一組可響應各種細胞外刺激而激 活並調介細胞表面至細胞核之信號轉導的蛋白絲胺酸/蘇 胺酸激酶。該等激酶可調節若干生理及病理細胞現象,包 Φ 括發炎、凋亡細胞死亡、致癌性轉化、腫瘤細胞侵襲、及 轉移。MAP激酶抑制劑之一個實例包括但不限於苯磺醯 胺,N-[2-[[[3-(4-氣苯基)-2-丙烯基]甲基]胺基]甲基]苯 基]·Ν-(2-|^_基乙基)-4 -甲氧基-(9C1)。 如本文所用術語「MDM2抑制劑」係關於一種把向、降 低或抑制MDM2與p53腫瘤抑制因子之相互作用的化合 物。MDM2抑制劑之一個實例包括但不限於反式_4_碘,4·-硼烷基-查耳酮。 如本文所用術語「MEK抑制劑」係關於靶向、降低或抑 制MAP激酶’ MEK之激酶活性的化合物。MEK抑制劑之一 個靶位包括但不限於ERK。MEK抑制劑之間接目標包括但 不限於細胞週期蛋白D1。MEK抑制劑之一個實例包括但 不限於丁二腈,雙[胺基[2-胺基苯基)硫基]亞曱基]-(9C1)。 如本文所用術語「甲硫胺酸胺基肽酶抑制劑」包括但不 限於靶向、降低或抑制甲硫胺酸胺基肽酶活性之化合物。 靶向、降低或抑制曱硫胺酸胺基肽酶活性之化合物係(例 144363.doc •97· 201032806 如)本阿米德或其衍生物。 如本文所用術語「MMP抑制劑」係關於一種靶向、降低 或抑制一類可選擇性地催化多肽鍵結水解之蛋白酶酵素 (包括參與促進腫瘤周圍組織結構丟失並促進腫瘤生長、 血管發生及轉移之酵素MMP-2及MMP-9)的化合物。MMP 抑制劑之一個靶位包括但不限於多肽脫曱醯基酶。MMP抑 制劑之實例包括但不限於放線醯胺素,其亦稱作丁二醯 胺,N4-羥基-Nl-[(lS)-l-[[(2S)-2-(羥基甲基)-卜°比咯啶基] 羰基]-2-甲基丙基]-2-戊基-,(2R)-(9CI);沒食子酸表沒食 鬱 子兒茶素酯;膠原素擬肽及非素擬肽抑制劑;四細胞週期 蛋白衍生物,例如,異羥肟酸素擬肽抑制劑巴馬司他 (batimastat);及其口服可生物利用性類似物馬立馬司他、 普琳司他、麥特司他、新伐司他(Neovastat)、坦諾司他 (Tanomastat)、TAA211、MMI270B 或 AAJ996。 如本文所用術語「單株抗體」包括但不限於貝伐單抗、 替伊莫單抗及托西莫單抗以及碘I 131。貝伐單抗可以其市 售形式(例如,AVASTIN)投與;利妥昔單抗可以 參 MABTHERA投與;替伊莫單抗可以ZEVULIN投與;且托 西莫單抗及碘I 131可以BEXXAR投與。 如本文所用術語「NGFR酪胺酸-激酶-抑制劑」係關於 一種靶向、降低或抑制神經生長因子依賴性pl4(Tuk酪胺 酸磷酸化之化合物。NGFR酪胺酸-激酶-抑制劑之靶位包 括但不限於FLK1、FAK、TrkA及/或TrkC。間接靶位可抑 制RAF 1表現。NGFR酪胺酸激酶抑制劑之一個實例包括但 144363.doc -98- 201032806 不限於酷·胺酸磷酸化抑制劑AG 879。 如本文所用術語「p38 MAP激酶抑制劑」係關於—種靶 向、降低或抑制p38-MAPK之化合物,ρ38_ΜΑρκ係一 ΜΑΡΚ家族成員…ΜΑΡΚ家族成員係受酪胺酸及蘇胺酸 •殘基之磷酸化激活的絲胺酸/蘇胺酸激酶。此激酶可藉由 • 許多細胞應力來磷酸化及活化,據信,其參與諸如凋亡及 炎性反應等重要細胞反應調節。ρ38 ΜΑρ激酶抑制劑之一 個實例包括但不限於苯酚,4·[4_(4_氟苯基)5 (4_吡啶基)_ • m-咪唑·2_基]_(9C1)。SAPK2/P38激酶抑制劑之一個實例 包括但不限於苯曱醯胺,3_(二甲基胺基)_N_[3_[(4羥基苯 甲醯基)胺基]-4- f基苯基]-(9C1)。 如本文所用術語「P56酪胺酸激酶抑制劑」係關於靶 向、降低或抑制P56酪胺酸激酶之化合物,p56酪胺酸激酶 係一種對τ-細胞發育及活化至關重要之淋巴細胞特異性src 家族酪胺睃激酶酵素。p56酪胺酸激酶抑制劑之一個乾位 β 包括但不限於Lch Lck係與CD4、CD8之細胞質結構域及 IL-2受體之β鏈相關且據信,其參與tcr_介導之τ_細胞活 化之最早步驟。Ρ 5 6路胺酸激酶抑制劑之實例包括但不限 於虎刺醛,其亦稱作2-蒽甲醛,9,10-二氫-3-羥基-1甲氧 基-9,10-二側氧基-(9C1)及/或酷·胺酸碟酸化抑制劑46。 如本文所用術語「PDGFR酪胺酸激酶抑制劑」係關於靶 向、降低或抑制C-kit受體酪胺酸激酶(PDGFR家族之一部 分)活性之化合物,諸如靶向、降低或抑制c-Kit受體酪胺 酸激酶家族活性之化合物,尤其是抑制c_Kit受體之化合 144363.doc -99· 201032806 物,PDGF在細胞增生、趨化作用及正常細胞存活以及諸 如癌症、動脈粥樣硬化及纖維變性疾病等各種疾病狀態中 起重要作用。該PDGF家族係由二聚合亞型(pdgF-ΑΑ、 PDGF-BB、PDGF-AB、PDGF-CC、及 PDGF-DD)組成,該 等藉由不同地結合兩受體酪胺酸激酶來發揮其細胞效應。 PDGFR-α及PDGFR-β分別具有〜17〇及180 kDa之分子質 量。PDGFR酪胺酸激酶抑制劑之靶位之實例包括但不限於 PDGFR、FLT3及/或c-KIT。PDGFR酪胺酸激酶抑制劑之實 例包括但不限於酪胺酸磷酸化抑制劑AG 1296 ;酪胺酸填 酸化抑制劑9;1,3-丁二烯-1,1,3-三曱腈,2-胺基-4-(111-, 哚-5-基)-(9Cl);伊馬替尼及IRESSA。 如本文所用術5吾「構脂酿肌醇3 -激酶抑制劑」係關於一 種靶向、降低或抑制PI 3-激酶之化合物。已證實PI 3_激酶 活性可響應§午多激素及生長因子刺激而增加,該等激素及 生長因子包括胰島素、血小板源生長因子、胰島素樣生長 因子、表皮生長因子、集落刺激因子、及肝細胞生長因 子’且在與細胞生長及轉化相關之若干過程中涉及?1 3_激 酶活性。填脂醯肌醇3 -激酶抑制劑之一個乾位之一個實例 包括但不限於Pi3K。磷脂醯肌醇3-激酶抑制劑之實例包括 但不限於渥曼青黴素,其亦稱作3H-呋喃并[4,3,2-de]節并 [4’5-h]-2-苯并吡喃-3,6,9-三酮,11-(乙醯基氧基)_ 1’61)’7,8,93,10,11,1113-八虱-1-(甲氧基曱基)-9&,111)-二甲基_ ’ US,6bR,9aS,llR,llbR)-(9CI); 8-苯基-2-(嗎啉 _4_ 基)_咬 稀-4-酮,4-(三氟曱基)_5-(2,6-二嗎啉并嘧啶-4-基)吡咬_2_ 144363.doc •100- 201032806 胺,2_甲基-2-[4-(3_甲基_2_側氧基_8_喹啉_3_基_2,3_二氳-咪 。坐并[4,5-c]啥淋_丨_基)_苯基]_丙腈及/或槲皮素二水合物。 如本文所用術語「磷酸酶抑制劑」係關於一種靶向、降 低或抑制填酸酶之化合物。磷酸酶可移除磷醯基並將蛋白 • 恢復至其初始去磷酸化態《因此,磷酸化-去磷酸化循環 ' 可視為分子「導通」開關。磷酸酶抑制劑之實例包括但不 限於斑整酸;斑蝥素;及L-白胺酸醯胺,N-[4-(2-羧基乙 烯基)苯曱醯基]甘胺醯基-L-α-麩胺醯基-,(E)-(9C1)。 ® 如本文所用術語「光動力療法」係指使用某些已知可作 為光敏劑之化學物質來治療或預防癌症之療法。光動力療 法之實例包括但不限於用諸如(例如)VISUDYNE及卟吩姆 納等藥劑治療。 如本文所用術語「鉑藥劑」係關於一種含有鉑並藉由形 成DNA分子之鏈間及鏈内交聯來抑制DNA合成之化合物。 麵藥劑包括但不限於之實例卡鉑;順鉑;奧沙利鉑;順 ❼ 鉑;沙鉑及諸如ZD0473等鉑藥劑。碳鉑可(例如)以其市售 形式(例如,CARBOPLAT)投與;且奥沙利鉑可以 ELOXATIN投與。 .如本文所用術語「蛋白磷酸酶抑制劑」係關於一種把 • 向、降低或抑制蛋白磷酸酶之化合物。如本文所用術語 「PP1或PP2抑制劑」係關於一種把向、降低或抑制 Ser/Thr蛋白磷酸酶之化合物。I型磷酸酶(包括ρρι)可受到 稱作抑制劑-1 (1-1)及抑制劑·2 (1_2)之兩熱穩定性蛋白的 抑制。該等熱穩定性蛋白優選磷酸化酶激酶之_亞單位^ Η 144363.doc 101 · 201032806 型磷酸酶係去磷酸化酵素,將磷酸酶分成自發活性 (PP2A)、CA2+-依賴性(PP2B)及 Mg2+-依賴性(PP2C)類別。 PP1及PP2A抑制劑之實例包括但不限於斑蝥酸及/或斑警 素。如本文所用術語「酪胺酸磷酸酶抑制劑」係關於一種 靶向、降低或抑制酪胺酸磷酸酶之化合物》蛋白酪胺酸碟 酸酶(PTP)係填酸酶家族之較新加入成員。該等可自蛋白 之磷酸化酪胺酸殘基移除磷酸基團。PTP展現出多種多樣 的結構特徵且在調節細胞增生、分裂、細胞黏附及運動以 及細胞骨架功能中起重要作用。酿胺酸鱗酸酶抑制劑之乾 位之實例包括但不限於驗性磷酸酶(ALP)、類肝素酶、 PTPase及/或前列腺酸性磷酸酶。酪胺酸磷酸酶抑制劑之 實例包括但不限於L-P-溴四咪唑草酸鹽;呋喃酮, 4-羥基-5-(羥基甲基)_3_(1_側氧基十六烷基)_,(5R)_ (9C1),·及苄基膦酸。 如本文所用術語「PKC抑制劑」係關於一種靶向、降低 或抑制蛋白激酶C以及其同功酶之化合物。蛋白激酶c (PKC)(—種遍在磷脂_依賴性酵素)參與跟細胞增生、分裂 及调亡相關之信號轉導。PKC抑制劑之—㈣位之實例包 括但不限於MAPK及/或抑4 B。PKC抑制劑之實例包括但 不限於1-H-吡咯并_2 5 _ 开2,5-—酮,%[1-[3-(二甲基胺基)丙基]_ 1H-吲咪-3-基]_4_(1Η_吲哚_3_基η·广雙吲哚基馬來醯 亞胺m醇,其稱胺基_, (2S’3R’4E)-(9CI);星形孢菌素其稱作9,m裒氧基_ 1Η,9Η·:㈣并[1,2,3 喻 3,,2,,1,训料并[3,4·· 144363.doc 201032806 并二氮雜環壬四烯-1-酮,2,3,1〇,11,12,13-六氫-1〇_甲氧其_ 9-甲基-11-(曱基胺基)-,(9S,l〇R,llR,l3R)-(9CI);酪胺酸 磷酸化抑制劑51 ;及金絲桃素,其亦稱作菲洛琳并 [1,10,9,8_〇?91^]茈-7,14-二鲖,1,3,4,6,8,13-六羥基_1()11_ • 二甲基-,立體異構體(6CI,7CI,8CI,9CI)。 - 如本文所用術語「PKC δ激酶抑制劑」係關於—種靶 向、降低或抑制PKC之δ同功酶之化合物。δ同功酶係一種 習見PKC同功酶並具有Ca2+_依賴性。PKC δ激酶抑制劑之 • 一個實例包括但不限於粗糠柴毒,其亦稱作2-丙烯酮, 1-[6-[(3-乙醯基-2,4,6-三羥基-5_甲基苯基)曱基]_5,7_二羥 基-2,2-二甲基-2Η-1-苯并吡喃_8_基]_3_苯基…(2Ε)_ (9CI)。 如本文所用術語「聚胺合成抑制劑」係關於一種靶向、 降低或抑制聚胺精脒之化合物。聚胺精脒及精胺對於細胞 增生具有至關重要的作用,但其確切的作用機制尚不清 _ 楚。腫瘤細胞内之聚胺穩態因受生物合成酵素活性增加及 I胺池升兩影響而改變。聚胺合成抑制劑之實例包括但不 限於DMFO,其亦稱作㈠_2_二氟曱基鳥胺酸;Ni,Ν12-二 乙基精胺4HC1。 如本文所用術語「蛋白體抑制劑」係關於一種靶向、降 低或抑制蛋白體之化合物。蛋白體抑制劑之乾位之實例包 括但不限於0(2)(-)-產生NADPH之氧化酶、NF-κΒ及/或法 呢酿基轉移酶、香葉基香葉基轉移酶I。蛋白體抑制劑之 實例包括但不限於阿克拉黴素A;膠黴毒素;ps_341 ; 144363.doc -103- 201032806 MLN 341 ;波替單抗;或維卡德。 如本文所用術語「PTP1B抑制劑」係關於一種靶向、降 低或抑制PTP 1B之化合物,蛋白酪胺酸激酶抑制劑。 PTP1B抑制劑之一個實例包括但不限於L-白胺酸醯胺,N-[4-(2-羧基乙烯基)苯甲醯基]甘胺醯基-L-α-麩胺醯基-, (E)-(9C1)。 如本文所用術語「蛋白酪胺酸激酶抑制劑」係關於一種 靶向、降低或抑制蛋白酪胺酸激酶之化合物。蛋白酪胺酸 激酶(PTK)在調節細胞增生、分裂、新陳代謝、遷移及存 活中起關鍵作用。該等可劃分為受體型PTK及非受體型 PTK。受體型PTK含有具有跨膜區段之單一多肽鏈。此區 段之細胞外末端含有高親和性配體結合結構域,而細胞質 末端包含催化核心及調節序列。酪胺酸激酶抑制劑之靶位 之實例包括但不限於ERK1、ERK2、布魯頓氏酪胺酸激酶 (Btk)、JAK2、ERK %、PDGFR及 / 或 FLT3。間接靶位之實 例包括但不限於 TNFa、NO、PGE2、IRAK、iNOS、 ICAM-1及/或E-選擇蛋白。酪胺酸激酶抑制劑之實例包括 但不限於酪胺酸磷酸化抑制劑AG 126 ;酪胺酸磷酸化抑制 劑Ag 1288 ;酪胺酸磷酸化抑制劑Ag 1295 ;格爾德黴素; 及染料木黃酮。 非受體型赂胺酸激酶包括Src、Tec、JAK、Fes、Abl、 FAK、Csk、及Syk家族之成員。該等係位於細胞質内以及 細胞核内。其呈現獨特的激酶調節、底物磷酸化及功能。 若干人類疾病亦與此等激酶失調有關。 144363.doc •104- 201032806 如本文所用術語「SRC家族酿胺酸激酶抑制劑」係關於 -種靶向、降低或抑制SRC之化合物。SRc家族酪胺酸激 酶抑制劑之實例包括但不限於PP1,其亦稱作ΐΗ_β比唑并 [3,4-d]㈣·4_胺,…山二曱基乙基)3(1萘基)调); 及ΡΡ2 ’其亦稱作1Η_。比唑并[3 4_d]嘲啶ι胺,3·^_氣苯 基)-1-(1,1-二曱基乙基)_(9CI)。The term "endocrine hormone" as used herein relates to a compound which causes androgen to be inhibited by a major application to the pituitary gland (net effect is a decrease in testosterone to a cleavage level). In females, ovarian estrogen and androgen synthesis are inhibited. An example of an endocrine hormone includes, but is not limited to, leuco = forest and megestrol acetate. The term "farnesyltransferase inhibitor" as used herein relates to a compound that targets, decreases or inhibits a Ras protein, which is normally abnormally active in cancer. One target of a guanyltransferase inhibitor includes, but is not limited to, RAS. Examples of farnesyltransferase inhibitors include, but are not limited to, a-hydroxyfarnesylphosphonic acid; butyric acid, 2-[[(2S)-2-[[(2S,3S)-2-[[(2R) -2.Amino-3-mercaptopropyl]amino]-3-decylpentyl]oxy] oxo_3_phenylpropyl]amino]-4-(methyl fluorenyl) )-,1·methylethyl ester, (2s)_(9ci); and oxytetracycline A. The term "Flk-1 kinase inhibitor" as used herein relates to a compound which targets, decreases or inhibits the activity of Flk-1 taurokinase. One target of Fik-1 kinase inhibitors includes, but is not limited to, KDR. Examples of Flk-1 kinase inhibitor 144363.doc • 93· 201032806 include, but are not limited to, 2-propenylamine, 2-cyano-3-[4-hydroxy-3,5-bis(1-methylethyl) Phenyl]_^^_(3_phenylpropyl)_, (2e)_(9ci). The phrase "a compound which targets, decreases or inhibits Flt_3S" as used herein includes, but is not limited to, compounds, proteins or antibodies that inhibit Fh-3, for example, N-benzimidyl-streptavidin, mitoxantrone Lin, sclerotin derivatives, SU11248 and MLN518. The term "genacillin antagonist" as used herein includes, but is not limited to, abarelix, goserelin, and goserelin acetate. Goserelin is disclosed in U.S. Patent No. 4,1,274 and sold as Z.LADEX. Abaric can be formulated as disclosed in, for example, U.S. Patent No. 5,843,9,1. The term "glycogen synthase kinase_3 (GSK3) inhibitor" as used herein relates to a compound which targets, reduces or inhibits glycogen synthase kinase_3 (GSK3). Glycogen synthase kinase_3 (GSK_3; tau protein kinase 丨), a highly conserved 'universal manifestation of serine/threonine protein kinase,' is involved in the signal transduction cascade of multiple cellular processes, a proven Protein kinases involved in a variety of cellular functions including protein synthesis, cell proliferation, cell division, microtubule assembly/disassembly, and apoptosis. An example of a GSK3 inhibitor includes, but is not limited to, indirubin-3, a single fat. The term "heparanase inhibitor" as used herein refers to a compound which targets, reduces or inhibits the degradation of heparin sulfate. The term includes, but is not limited to, ρι_88 ° as used herein, the phrase "compounds for the treatment of hematological malignancies" including, but not limited to, FMS-like tyrosine kinase inhibitors, for example, targeting, reducing or inhibiting FMS-like tyrosine Compounds that are active at the kinase receptor (Flt_3R); interfere with 144363.doc -94- 201032806, lbD-arabinofuranosine (ara_c), and alkaloids; and alk inhibitors such as 'targeting, reducing or inhibiting degenerative A compound of lymphoma kinase. The term "histone deacetylase (HDAC) inhibitor" as used herein relates to a compound which inhibits histone deacetylase and possesses anti-proliferative activity. This includes, but is not limited to, the compounds disclosed in WO 02/22577, especially N-hydroxy-3-[4-[[(2-hydroxyethyl)[2-(1Η-indol-3-yl)ethyl) ]-Amino]methyl]phenyl]·2Ε-2-propenylamine, and N-hydroxy-3-[4-[[[2· ^ (2_methyl_1Η_吲哚_3_) )-Ethyl]-amino]methyl]phenyl]-2indole-2-propenylamine and a pharmaceutically acceptable salt thereof (LBH589). It further comprises cycloheptyl aniline hydroxamic acid (SAHA); [4_(2-amino-phenylaminocarbamimidyl)-benzyl]-carbamic acid pyridine _3_ decyl steryl ester and Derivatives; butyric acid, pyrrolidine, trichostatin A, oxavastatin, abciceptin, depsipeptide; debudexin and tricepsin. Other examples include debuddin; He toxin, which is also known as the ring [L-alaninyl _D_ propylamine 醯*_(aS, 2S)_a_amino side oxy group; epoxy ethene octyl-D- Amidoxime] (9ci); sodium phenylbutyrate, cycloheptyl bis-hydroxamic acid; and trichostatin. The phrase "corticosteroid-containing implant" as used herein includes, but is not limited to, agents such as, for example, skin relaxant and dexamethasone. The term "j_K B_a kinase inhibitor (IKK)" as used herein relates to a compound which targets, decreases or inhibits nf_kB. Examples of guanidine inhibitors include, but are not limited to, 2-acrylonitrile, 3-[(4- mercaptophenyl)sulfonyl]-, (2Ε)_ (9C1). The term "insulin receptor tyrosine kinase" as used herein. Inhibitors are 144363.doc-95-201032806 in a compound that modulates the activity of phospholipids inositol 3-kinase, microtubule-associated protein, and S6 kinase. Examples of insulin receptor tyrosine kinase inhibitors include, but are not limited to, hydroxy-2-naphthyldecylphosphonic acid. The term "c-Jun N-terminal kinase (JNK) kinase inhibitor" as used herein relates to a compound which is a dry, reduced or inhibited Jun N-terminal kinase. Jun N-terminal kinase (JNK), a protein kinase directed by serine, is involved in the acidification and activation of c-Jun and ATF2 and plays an important role in metabolism, growth, cell division and apoptosis. Targets for JNK kinase inhibitors include, but are not limited to, DNMT. Examples of JNK kinase inhibitors include, but are not limited to, pyrazolone and/or gallic acid epigallocatechin. The term "microtubule adhesive" as used herein refers to a compound that disrupts the microtubule network, which is important for cell function during mitosis and division. Examples of microtubule adhesives include, but are not limited to, vinblastine sulfate; vincristine sulfate; vindesine; vinorelbine; docetaxel; paclitaxel; vinorelbine; disc-shaped demodex; colchicine and epo And its derivatives, for example, epothilone B or a derivative thereof. Paclitaxel is sold as TAXOL; Docetaxel is sold as TAXOTERE; vinblastine sulfate is sold as VINBLASTIN R.P; and vincristine sulfate is sold as FARMISTIN. Also included are paclitaxel in the general form and paclitaxel in various dosage forms. Typical forms of paclitaxel include, but are not limited to, betaxolol hydrogenate. Various dosage forms of paclitaxel include, but are not limited to, albumin nanoparticle paclitaxel, ONXOL, CYTOTAX sold as ABRAXANE. A disc-shaped Molyde is obtained as disclosed in, for example, U.S. Patent No. 5,010,099. Also included are the epothilone derivatives, which are disclosed in U.S. Patent No. 144, 363. doc-96-201032806, No. 6,194,181, WO 98/10121, WO 98/25929, WO 98/08849, WO 99/43653, WO 98/22461 and WO 00/31247. Particularly preferred is Epothilone A and/or B^ The term "mitogenic protein (MAP) kinase-inhibitor" as used herein relates to a compound that targets, decreases or inhibits mitogen. Promoter • The cytokinin (MAP) kinase is a group of protein serine/threonine kinases that activate and mediate signal transduction from the cell surface to the nucleus in response to various extracellular stimuli. These kinases regulate a number of physiological and pathological cellular phenomena, including inflammation, apoptotic cell death, oncogenic transformation, tumor cell invasion, and metastasis. An example of a MAP kinase inhibitor includes, but is not limited to, benzenesulfonamide, N-[2-[[[3-(4-phenylphenyl)-2-propenyl]methyl]amino]methyl]phenyl ]·Ν-(2-|^-ylethyl)-4-methoxy-(9C1). The term "MDM2 inhibitor" as used herein relates to a compound that directs, reduces or inhibits the interaction of MDM2 with a p53 tumor suppressor. An example of an MDM2 inhibitor includes, but is not limited to, trans-4_iodine, 4'-boranyl-chalcone. The term "MEK inhibitor" as used herein relates to a compound which targets, decreases or inhibits the kinase activity of MAP kinase ' MEK. One of the target sites for MEK inhibitors includes, but is not limited to, ERK. Targets for MEK inhibitors include, but are not limited to, cyclin D1. An example of a MEK inhibitor includes, but is not limited to, succinonitrile, bis[amino[2-aminophenyl)thio]indenyl]-(9C1). The term "methionine aminopeptidase inhibitor" as used herein includes, but is not limited to, compounds that target, reduce or inhibit methionine aminopeptidase activity. A compound that targets, reduces or inhibits the activity of amidin aminopeptidase (Example 144363.doc • 97· 201032806) Benben or a derivative thereof. The term "MMP inhibitor" as used herein relates to a protease enzyme that targets, reduces or inhibits the selective catalysis of the hydrolysis of a polypeptide bond (including involvement in promoting tissue loss around the tumor and promoting tumor growth, angiogenesis and metastasis). A compound of the enzymes MMP-2 and MMP-9). One target of an MMP inhibitor includes, but is not limited to, a polypeptide deaminase. Examples of MMP inhibitors include, but are not limited to, payoff guanamine, also known as butyramine, N4-hydroxy-Nl-[(lS)-l-[[(2S)-2-(hydroxymethyl)- P-pyridinyl]carbonyl]-2-methylpropyl]-2-pentyl-, (2R)-(9CI); gallic acid-free hypotrophic catechin ester; collagen peptidomimetic And non-prime peptidomimetic inhibitors; four-cyclin derivatives, for example, the hydroxamic acid peptidomimetic inhibitor batimastat; and its orally bioavailable analogs, Marimastat, Promethrin He, Metestat, Neovastat, Tanomastat, TAA211, MMI270B or AAJ996. The term "monoclonal antibody" as used herein includes, but is not limited to, bevacizumab, temimumab and tocilizumab, and iodine I 131. Bevacizumab can be administered in a commercially available form (eg, AVASTIN); rituximab can be administered by MABTHERA; immozumab can be administered by ZEVULIN; and tosimizumab and iodine I 131 can be BEXXAR Cast. The term "NGFR tyrosine-kinase-inhibitor" as used herein relates to a compound that targets, decreases or inhibits nerve growth factor-dependent pl4 (Tuk tyrosine phosphorylation. NGFR tyrosine-kinase-inhibitor Target sites include, but are not limited to, FLK1, FAK, TrkA, and/or TrkC. Indirect target sites can inhibit RAF 1 expression. One example of NGFR tyrosine kinase inhibitors includes but 144363.doc -98- 201032806 is not limited to cool amine acids Phosphorylation inhibitor AG 879. The term "p38 MAP kinase inhibitor" as used herein relates to a compound which targets, decreases or inhibits p38-MAPK, a member of the ρ38_ΜΑρκ family of ΜΑΡΚ family members which are tyrosine and Phosphorylation of threonine residues - activating serine/threonine kinase. This kinase can be phosphorylated and activated by many cellular stresses and is believed to be involved in important cells such as apoptosis and inflammatory responses. Reaction Regulation. One example of a ρ38 ΜΑρ kinase inhibitor includes, but is not limited to, phenol, 4·[4_(4-fluorophenyl)5(4-pyridyl)_ m-imidazolyl-2-yl]-(9C1). An example package for SAPK2/P38 kinase inhibitors Including but not limited to benzoguanamine, 3-(dimethylamino)_N_[3_[(4-hydroxybenzylidenyl)amino]-4-fylphenyl]-(9C1). The term as used herein. P56 tyrosine kinase inhibitors are compounds that target, reduce or inhibit P56 tyrosine kinase, a p56 tyrosine kinase, a lymphocyte-specific src family of tyramine that is essential for tau cell development and activation.睃 kinase, a dry site of the p56 tyrosine kinase inhibitor, including but not limited to, the Lch Lck line is associated with the cytoplasmic domain of CD4, CD8, and the beta chain of the IL-2 receptor and is believed to be involved in tcr_mediated The earliest steps of τ-cell activation. Examples of 65 6-amino acid kinase inhibitors include, but are not limited to, squalane, which is also known as 2-nonanaldehyde, 9,10-dihydro-3-hydroxy-1. Methoxy-9,10-di-oxy-(9C1) and/or succinic acid acidification inhibitor 46. The term "PDGFR tyrosine kinase inhibitor" as used herein relates to targeting, reduction or inhibition. Compounds that are active in the C-kit receptor tyrosine kinase (part of the PDGFR family), such as targeting, reducing or inhibiting the activity of the c-Kit receptor tyrosine kinase family , especially the inhibition of c_Kit receptor 144363.doc -99· 201032806, PDGF plays an important role in cell proliferation, chemotaxis and normal cell survival as well as various disease states such as cancer, atherosclerosis and fibrotic diseases. The PDGF family consists of a dimeric subtype (pdgF-ΑΑ, PDGF-BB, PDGF-AB, PDGF-CC, and PDGF-DD) that binds to two receptor tyrosine kinases differently. Give play to its cellular effects. PDGFR-α and PDGFR-β have molecular masses of ~17〇 and 180 kDa, respectively. Examples of targets for PDGFR tyrosine kinase inhibitors include, but are not limited to, PDGFR, FLT3, and/or c-KIT. Examples of PDGFR tyrosine kinase inhibitors include, but are not limited to, tyrosine phosphorylation inhibitor AG 1296; tyrosine acidification inhibitor 9; 1,3-butadiene-1,1,3-tricarbonitrile, 2-Amino-4-(111-,indol-5-yl)-(9Cl); Imatinib and IRESSA. As used herein, the "lipositol 3-kinase inhibitor" is directed to a compound which targets, decreases or inhibits PI 3-kinase. PI 3_kinase activity has been shown to increase in response to § no-hormone and growth factor stimulation, including insulin, platelet-derived growth factor, insulin-like growth factor, epidermal growth factor, colony-stimulating factor, and hepatocytes. Growth factors' and are involved in several processes related to cell growth and transformation? 1 3_Enzymatic activity. An example of a dry position of a fat-filled inositol 3-kinase inhibitor includes, but is not limited to, Pi3K. Examples of phospholipid inositol 3-kinase inhibitors include, but are not limited to, wortmannin, which is also known as 3H-furo[4,3,2-de] and [4'5-h]-2-benzo Pyran-3,6,9-trione, 11-(ethenyloxy)_ 1'61)'7,8,93,10,11,1113-octane-1-(methoxy fluorenyl) )-9&,111)-dimethyl_' US,6bR,9aS,llR,llbR)-(9CI); 8-phenyl-2-(morpholine-4-yl)-benzo-4-one, 4-(Trifluoromethyl)-5-(2,6-dimorpholinopyrimidin-4-yl)pyrodo_2_ 144363.doc •100- 201032806 Amine, 2_methyl-2-[4-(3 _methyl_2_sideoxy_8_quinoline_3_yl_2,3_diindole-mi. Sit and [4,5-c]啥淋_丨_基)_phenyl]_丙Nitrile and / or quercetin dihydrate. The term "phosphatase inhibitor" as used herein relates to a compound which targets, decreases or inhibits nitase. Phosphatase removes the phosphonium group and restores the protein to its original dephosphorylated state. Thus, the phosphorylation-dephosphorylation cycle can be considered a molecular "on" switch. Examples of phosphatase inhibitors include, but are not limited to, plaque acid; cantharidin; and L-leucine amide, N-[4-(2-carboxyvinyl)benzoyl]glycine-L- --glutamic acid thiol-, (E)-(9C1). ® The term "photodynamic therapy" as used herein refers to a therapy that uses some of the chemicals known to act as photosensitizers to treat or prevent cancer. Examples of photodynamic therapy include, but are not limited to, treatment with agents such as, for example, VISUDYNE and 卟 姆 um. The term "platinum agent" as used herein relates to a compound which contains platinum and which inhibits DNA synthesis by forming interchain and intrachain crosslinks of DNA molecules. Face agents include, but are not limited to, examples of carboplatin; cisplatin; oxaliplatin; cisplatin; satraplatin; and platinum agents such as ZD0473. Carboplatin can be administered, for example, in the form as it is marketed (e.g., CARBOPLAT); and oxaliplatin can be administered by ELOXATIN. The term "protein phosphatase inhibitor" as used herein relates to a compound which modulates, reduces or inhibits protein phosphatase. The term "PP1 or PP2 inhibitor" as used herein relates to a compound that directs, reduces or inhibits Ser/Thr protein phosphatase. Type I phosphatases (including ρρι) can be inhibited by two thermostable proteins called inhibitor-1 (1-1) and inhibitor 2 (1_2). These thermostable proteins are preferably phosphorylase kinase subunits Η 144363.doc 101 · 201032806 phosphatase dephosphorylation enzymes, which separate phosphatase into spontaneous activity (PP2A), CA2+-dependent (PP2B) and Mg2+-dependent (PP2C) category. Examples of PP1 and PP2A inhibitors include, but are not limited to, cantharidin and/or plaque. The term "tyrosine phosphatase inhibitor" as used herein relates to a newer member of the protein tyrosine acid phytase (PTP) linase family of compounds that target, reduce or inhibit tyrosine phosphatase. . These phosphate groups can be removed from the phosphorylated tyrosine residues of the protein. PTP exhibits a variety of structural features and plays an important role in regulating cell proliferation, division, cell adhesion and movement, and cytoskeletal function. Examples of dry positions of the tyrosinase inhibitor include, but are not limited to, a test phosphatase (ALP), a heparanase, a PTPase, and/or a prostatic acid phosphatase. Examples of tyrosine phosphatase inhibitors include, but are not limited to, LP-bromotetrazide oxalate; furanone, 4-hydroxy-5-(hydroxymethyl)_3_(1-hydroxyxetyl)_, (5R)_(9C1), and benzylphosphonic acid. The term "PKC inhibitor" as used herein relates to a compound which targets, decreases or inhibits protein kinase C and its isozyme. Protein kinase c (PKC), a ubiquitin phospholipid-dependent enzyme, is involved in signal transduction associated with cell proliferation, division, and apoptosis. Examples of the (four) position of the PKC inhibitor include, but are not limited to, MAPK and/or 4B. Examples of PKC inhibitors include, but are not limited to, 1-H-pyrrolo-2 5 -open 2,5-ketone, %[1-[3-(dimethylamino)propyl]- 1H-indole- 3-yl]_4_(1Η_吲哚_3_yl η·Guang bis-indenyl maleimine m alcohol, which is called amine _, (2S'3R'4E)-(9CI); The bacteriocin is called 9, m methoxy _ 1 Η, 9 Η ·: (4) and [1, 2, 3 3 3,, 2, 1, 1, and [3,4·· 144363.doc 201032806 and dinitrogen Heterocyclic purinetetraen-1-one, 2,3,1〇,11,12,13-hexahydro-1?-methoxy- 9-methyl-11-(decylamino)-, (9S , l〇R, llR, l3R)-(9CI); tyrosine phosphorylation inhibitor 51; and hypericin, also known as phenoline and [1,10,9,8_〇?91^ ]茈-7,14-dioxin, 1,3,4,6,8,13-hexahydroxy_1()11_ • dimethyl-, stereoisomer (6CI, 7CI, 8CI, 9CI). The term "PKC δ kinase inhibitor" as used herein relates to a compound which targets, reduces or inhibits the δ isozyme of PKC. The δ isozyme is a PKC isozyme and has a Ca 2+ dependency. An example of a delta kinase inhibitor includes, but is not limited to, crude carp, which is also known as 2-propenone, 1-[6-[ (3-Ethyl-2,4,6-trihydroxy-5-methylphenyl)indenyl]_5,7-dihydroxy-2,2-dimethyl-2-indole-1-benzopyran_ 8_基]_3_phenyl...(2Ε)_ (9CI). The term "polyamine synthesis inhibitor" as used herein relates to a compound which targets, reduces or inhibits polyamine quinone. Polyamine concentrate and fine Amine plays a crucial role in cell proliferation, but its exact mechanism of action is still unclear. The polyamine homeostasis in tumor cells is altered by the increase in biosynthetic enzyme activity and the increase in Iamine pool. Examples of synthetic inhibitors include, but are not limited to, DMFO, which is also known as (i)_2-difluorodecylguanine; Ni, Ν12-diethylspermine 4HC1. The term "proteosome inhibitor" as used herein relates to a target. Examples of dry, reduced or inhibited protein bodies. Examples of dry positions of proteosome inhibitors include, but are not limited to, 0(2)(-)-NADPH-producing oxidases, NF-κΒ and/or fascinating transferases, Geranylgeranyltransferase I. Examples of proteosome inhibitors include, but are not limited to, aclarinin A; gliotoxin; ps_341; 144363.doc-103-201032806 MLN 341; Antibiotic; or Vicard. The term "PTP1B inhibitor" as used herein relates to a compound that targets, decreases or inhibits PTP 1B, a protein tyrosine kinase inhibitor. One example of a PTP1B inhibitor includes, but is not limited to, L- Amine leucine, N-[4-(2-carboxyvinyl)benzimidyl]glycidyl-L-α-glutamic acid-, (E)-(9C1). The term "protein tyrosine kinase inhibitor" as used herein relates to a compound which targets, decreases or inhibits protein tyrosine kinase. Protein tyrosine kinase (PTK) plays a key role in regulating cell proliferation, division, metabolism, migration and survival. These can be divided into receptor type PTK and non-receptor type PTK. Receptor type PTK contains a single polypeptide chain with a transmembrane segment. The extracellular end of this segment contains a high affinity ligand binding domain, while the cytoplasmic end contains a catalytic core and regulatory sequences. Examples of targets for tyrosine kinase inhibitors include, but are not limited to, ERK1, ERK2, Bruton's tyrosine kinase (Btk), JAK2, ERK%, PDGFR, and/or FLT3. Examples of indirect target sites include, but are not limited to, TNFa, NO, PGE2, IRAK, iNOS, ICAM-1 and/or E-selectin. Examples of tyrosine kinase inhibitors include, but are not limited to, tyrosine phosphorylation inhibitor AG 126; tyrosine phosphorylation inhibitor Ag 1288; tyrosine phosphorylation inhibitor Ag 1295; geldanamycin; Savonoids. Non-receptor glutamine kinases include members of the Src, Tec, JAK, Fes, Abl, FAK, Csk, and Syk families. These lines are located within the cytoplasm as well as within the nucleus. It exhibits unique kinase regulation, substrate phosphorylation and function. Several human diseases are also associated with these kinase disorders. 144363.doc •104- 201032806 The term "SRC family of tyrosine kinase inhibitors" as used herein relates to a compound which targets, decreases or inhibits SRC. Examples of SRc family tyrosine kinase inhibitors include, but are not limited to, PP1, which is also known as ΐΗββ-pyrazolo[3,4-d](tetra)·4-amine, ... succinylethyl) 3 (1 naphthyl) )))) and ΡΡ2 'which is also known as 1Η_. Butazolo[3 4_d] ridiculidine iodide, 3·^_ phenylphenyl)-1-(1,1-didecylethyl)_(9CI).
如本文所用術語「Syk酪胺酸激酶抑制劑」係關於一種 靶向、降低或抑制Syk之化合物。Syk酪胺酸激酶抑制劑之 無位之實例包括但不限於8外、81^3及/或STAT5。_酪 胺酸激酶抑制劑之一個實例包括但不限於四羥反式芪 (PiCeatann〇1),其亦稱作 1,2-苯二醇,4-[(lE)_2_(3,5_ 二羥 基苯基)乙稀基]-(9CI)。 如本文所用術語「janus (JAK_2及/或JAK_3)酪胺酸激酶 抑制劑」係關於一種靶向、降低或抑制janus酪胺酸激酶之 化合物。已證實janus酪胺酸激酶抑制劑係具有抗血栓形 成、抗過敏及免疫抑制特性之抗白血病劑。JAK_2及/或 JAK-3酷胺酸激酶抑制劑之乾位包括但不限於、 JAK3、STAT3。JAK-2及/或JAK-3酪胺酸激酶抑制劑之間 接乾位包括但不限於CDKh JAK-2及/或JAK-3酪胺酸激酶 抑制劑之實例包括但不限於酪胺酸磷酸化抑制劑AG 490 ; 及2 -萘基乙稀基酮。 如本文所用術語「Ras致癌亞型之抑制劑」包括但不 限於如本文所用H_Ras、K-Ras或N-Ras,係指靶向、降 低或抑制Ras致癌活性之化合物,例如,法呢基轉移酶 144363.doc •105- 201032806 抑制劑(FTI),例如,l-744832、DK8G557 或 R1 15777 (ZARNESTRA)。 如本文所用術語「類視色素」係指靶向、降低或抑制類 視色素依賴性受體之化合物。實例包括但不限於異維&酸 及維a酸。 如本文所用術語「核糖核苷酸還原酶抑制劑」包括但不 限於嘧啶或嘌呤核苷類似物,包括但不限於氟達拉濱及/ 或ara-C ; 6-硫鳥嘌呤;5_FU ;克拉屈濱;6_酼基嘌呤,尤 其疋與抗ALL之ara-C之組合;及/或喷司他丁。核糖核苷 酸還原酶抑制劑尤其是羥基脲或2_羥基-1H_異吲哚_丨,3_二 _衍生物,諸如 PL-1、PL-2、PL-3、PL-4、PL-5、PL-6、 PL-7 或 PL-8。參見 Nandy 等人,Acta Oncologica,第 33 卷,No. 8,第 953-961 頁(1994)。 如本文所用術語「RNA聚合酶Η伸長抑制劑」係關於靶 向、降低或抑制CHO細胞中受胰島素刺激之細胞核及細胞 溶質p70S6激酶的化合物;靶向、降低或抑制rna聚合酶 II轉錄之化合物,RNA聚合酶π轉錄可依賴性於酪蛋白激 酶II,及乾向 '降低或抑制牛卵母細胞核泡破裂之化合 物。RNA聚合酶π伸長抑制劑之一個實例包括但不限於 5,6-二氯-Ι-β-D-呋喃核糖基苯并咪唑。 如本文所用術語「S-腺苷甲硫胺酸脫羧酶抑制劑」包括 但不限於揭示於美國專利第5,461,076號中之化合物。 如本文所用術語「絲胺酸/蘇胺酸激酶抑制劑」係關於 可抑制絲胺酸/蘇胺酸激酶之化合物。絲胺酸/蘇胺酸激酶 144363.doc 201032806 抑制劑之一個靶位之一個實例包括但不限於dsRNA-依賴 性蛋白激酶(PKR)。絲胺酸/蘇胺酸激酶抑制劑之間接靶位 之實例包括但不限於MCP-1、NF-κΒ、elF2a、COX2、 RANTES、IL8、CYP2A5、IGF-1、CYP2B1、CYP2B2、 CYP2H1、ALAS-1、HIF-1、紅細胞生成素及 / 或 CYP1A1。 . 絲胺酸/蘇胺酸激酶抑制劑之一個實例包括但不限於2-胺基 嘌呤,亦稱作1H-嘌呤-2-胺(9C1)。 如本文所用術語「生長抑素受體拮抗劑」包括但不限於 Φ 靶向、治療或抑制生長抑素受體之藥劑,諸如奥曲肽 (octreoride)及 SOM230。 如本文所用術語「固醇生物合成抑制劑」係關於一種可 抑制諸如膽固醇等固醇生物合成的化合物。固醇生物合成 抑制劑之靶位之實例包括但不限於角鯊烯環氧化酶及 CYP2D6。固醇生物合成抑制劑之一個實例包括但不限於 特比萘丁。 如本文所用術語「端粒酶抑制劑」包括但不限於靶向、 ® 降低或抑制端粒酶活性之化合物。靶向、降低或抑制端粒 酶活性之化合物尤其是抑制端粒酶受體之化合物,例如, • 替洛美他汀。 . 術語「拓撲異構酶抑制劑」包括拓撲異構酶I抑制劑及 拓撲異構酶II抑制劑。拓撲異構酶I抑制劑之實例包括但不 限於托泊替康、吉馬替康、伊立替康、喜樹鹼及其類似 物、9-硝基喜樹鹼及大分子喜樹鹼偶聯物PNU-166148 (WO 99/17804之化合物A1); 10-羥基喜樹鹼乙酸鹽;依託 144363.doc •107- 201032806 泊苷;伊達比星氫氯酸鹽;伊立替康氫氣酸鹽;替尼泊 苷;托泊替康氫氣酸鹽;多柔比星;表柔比星氫氣酸鹽; 米托蒽醌氫氯酸鹽;及柔紅黴素氫氣酸鹽。伊立替康可 (例如)以其市售形式(例如,商標係CAMPTOSAR)投與。 拓撲替康可(例如)以其市售形式(例如,商標為 - HYCAMTIN)投與。如本文所用術語「拓撲異構酶Π抑制 劑」包括但不限於蒽環類抗生素,諸如多柔比星(包括脂 質體調配物,例如,CAELYX)、柔紅黴素(包括脂質體調 配物,例如,DAUNOSOME)、表柔比星、伊達比星及奈 參 莫柔比星、蒽醌類米托蒽醌及洛索蒽醌;及鬼臼毒素 (podophillotoxine)類依託泊普及替尼泊普。依託泊苦係以 ETOPOPHOS出售;替尼泊苷係以VM 26-BRISTOL出售; 多柔比星係以ADRIBLASTIN或ADRIAMYCIN出售;表柔 比星係以FARMORUBICIN出售;伊達比星係以ZAVEDOS 出售;且米托蒽醌係以NOVANTRON出售。 短語「腫瘤細胞破壞方法」係指諸如電離輻射等方法。 上文及下文所提及術語「電離輻射」意指以諸如X-射線及 ❹ γ射線等電磁射線或諸如α、β及γ粒子等粒子出現之電離輻 射。電離輻射提供於(但不限於)輻射治療中且為此項技術 所熟知。參見Heilman, Cancer,第4版,第1卷,Devita等 人編輯,第248-275頁(1993)。 如本文所用短語「VEGF或VEGFR之單株抗體」包括但 不限於揭示於WO 98/35958中之化合物(例如,1-(4-氣笨胺 基)-4-(4-"比啶基曱基)呔嗪或其醫藥上可接受之鹽,例如, 144363.doc -108- 201032806 琥珀酸鹽)或揭示於 WO 00/09495、WO 00/27820、WO 00/59509、WO 98/1 1223、WO 00/27819及歐洲專利 〇 769 947中之化合物;彼等由Prewett等人於Cawcer Λα,第59 卷,第 5209-5218 頁(1999)中;Yuan等人於/Voc dead - ,第 93 卷,第 14765-14770 頁(1996)中;Zhu 等人於 及以,第 58 卷,第 3209-3214 頁(1998)中;及The term "Syk tyrosine kinase inhibitor" as used herein relates to a compound which targets, decreases or inhibits Syk. Examples of no-positions of Syk tyrosine kinase inhibitors include, but are not limited to, 8 exo, 81^3, and/or STAT5. An example of a tyrosine kinase inhibitor includes, but is not limited to, tetrahydrotranspurin (PiCeatann®), which is also known as 1,2-benzenediol, 4-[(lE)_2_(3,5-dihydroxyl) Phenyl)ethidyl]-(9CI). The term "janus (JAK_2 and/or JAK_3) tyrosine kinase inhibitor" as used herein relates to a compound that targets, decreases or inhibits janus tyrosine kinase. The janus tyrosine kinase inhibitor has been shown to have anti-leukemia agents with antithrombotic, anti-allergic and immunosuppressive properties. The dry sites of JAK_2 and/or JAK-3 valine kinase inhibitors include, but are not limited to, JAK3, STAT3. Examples of JAK-2 and/or JAK-3 tyrosine kinase inhibitor inducing stems including, but not limited to, CDKh JAK-2 and/or JAK-3 tyrosine kinase inhibitors include, but are not limited to, tyrosine phosphorylation Inhibitor AG 490; and 2-naphthylethenyl ketone. The term "inhibitor of a Ras oncogenic subtype" as used herein includes, but is not limited to, H_Ras, K-Ras or N-Ras as used herein, and refers to a compound that targets, decreases or inhibits the carcinogenic activity of Ras, for example, farnesyl transfer. Enzyme 144363.doc • 105- 201032806 Inhibitor (FTI), for example, l-744832, DK8G557 or R1 15777 (ZARNESTRA). The term "retinoid" as used herein refers to a compound which targets, decreases or inhibits a retinoid-dependent receptor. Examples include, but are not limited to, isotret & acid and retinoic acid. The term "ribonucleotide reductase inhibitor" as used herein includes, but is not limited to, pyrimidine or purine nucleoside analogs including, but not limited to, fludarabine and/or ara-C; 6-thioguanine; 5-FU; carat Qubin; 6_酼基嘌呤, especially in combination with ara-C against ALL; and/or pentastatin. Ribonucleotide reductase inhibitors are especially hydroxyurea or 2-hydroxy-1H_isoindole 丨, 3_di-derivatives such as PL-1, PL-2, PL-3, PL-4, PL -5, PL-6, PL-7 or PL-8. See Nandy et al., Acta Oncologica, Vol. 33, No. 8, pp. 953-961 (1994). The term "RNA polymerase Η elongation inhibitor" as used herein relates to a compound that targets, reduces or inhibits insulin-stimulated nuclei and cytosolic p70S6 kinase in CHO cells; compounds that target, reduce or inhibit transcription of rna polymerase II; RNA polymerase π transcription can be dependent on casein kinase II, and stem to a compound that reduces or inhibits rupture of bovine oocyte nuclear vesicles. An example of an RNA polymerase π elongation inhibitor includes, but is not limited to, 5,6-dichloro-indole-β-D-ribofuranosylbenzimidazole. The term "S-adenosylmethionine decarboxylase inhibitor" as used herein includes, but is not limited to, the compounds disclosed in U.S. Patent No. 5,461,076. The term "serine/threonine kinase inhibitor" as used herein relates to a compound which inhibits serine/threonine kinase. Serine/threonine kinase 144363.doc 201032806 One example of a target of an inhibitor includes, but is not limited to, dsRNA-dependent protein kinase (PKR). Examples of targets for binding between serine/threonine kinase inhibitors include, but are not limited to, MCP-1, NF-κΒ, elF2a, COX2, RANTES, IL8, CYP2A5, IGF-1, CYP2B1, CYP2B2, CYP2H1, ALAS- 1. HIF-1, erythropoietin and/or CYP1A1. An example of a serine/threonine kinase inhibitor includes, but is not limited to, 2-aminoindole, also known as 1H-indol-2-amine (9C1). The term "somatostatin receptor antagonist" as used herein includes, but is not limited to, Φ agents that target, treat or inhibit somatostatin receptors, such as octreoride and SOM230. The term "sterol biosynthesis inhibitor" as used herein relates to a compound which inhibits sterol biosynthesis such as cholesterol. Examples of targets for sterol biosynthesis inhibitors include, but are not limited to, squalene epoxidase and CYP2D6. An example of a sterol biosynthesis inhibitor includes, but is not limited to, terbinafine. The term "telomerase inhibitor" as used herein includes, but is not limited to, a compound that targets, reduces or inhibits telomerase activity. Compounds which target, reduce or inhibit telomerase activity are, in particular, compounds which inhibit the telomerase receptor, for example, • Tromestatin. The term "topoisomerase inhibitor" includes topoisomerase I inhibitors and topoisomerase II inhibitors. Examples of topoisomerase I inhibitors include, but are not limited to, topotecan, gematidine, irinotecan, camptothecin and the like, 9-nitrocamptothecin, and macromolecular camptothecin conjugates PNU-166148 (Compound A1 of WO 99/17804); 10-hydroxycamptothecin acetate; Relying on 144363.doc •107- 201032806 Poor; Idarubicin Hydrochloride; Irinotecan Hydrogenate; Poscoside; topotecan hydrochloride; doxorubicin; epirubicin hydrochloride; mitoxantrone hydrochloride; and daunorubicin hydrogenate. Irinotecan can be administered, for example, in the form as it is marketed (e.g., the trademark CAMPTOSAR). Topotecan can be administered, for example, in the form as it is marketed (e.g., under the trademark -HYCAMTIN). The term "topoisomerase purine inhibitor" as used herein includes, but is not limited to, anthracyclines such as doxorubicin (including liposome formulations, eg, CAELYX), daunorubicin (including liposome formulations, For example, DAUNOSOME), epirubicin, idarubicin and nepyridamole, mitoxantrone and loxoprost; and podophillotoxine-based etoposide are popular for tenipoper. Reliance is sold as ETOPOPHOS; teniposide is sold as VM 26-BRISTOL; doxorubicin is sold as ADRIBLASTIN or ADRIAMYCIN; epirubicin is sold as FARMORUBICIN; Idaby is sold as ZAVEDOS; The tray is sold as NOVANTRON. The phrase "tumor cell destruction method" refers to a method such as ionizing radiation. The term "ionizing radiation" as referred to above and hereinafter means ionizing radiation occurring in the form of electromagnetic rays such as X-rays and ❹ γ rays or particles such as α, β and γ particles. Ionizing radiation is provided in, but not limited to, radiation therapy and is well known in the art. See Heilman, Cancer, 4th ed., Vol. 1, Devita et al., ed., pp. 248-275 (1993). The phrase "monoclonal antibody to VEGF or VEGFR" as used herein includes, but is not limited to, the compounds disclosed in WO 98/35958 (for example, 1-(4-cyclophenylamino)-4-(4-" A pyridazine or a pharmaceutically acceptable salt thereof, for example, 144363.doc-108-201032806 succinate) or as disclosed in WO 00/09495, WO 00/27820, WO 00/59509, WO 98/1 1223, WO 00/27819 and the compounds of European Patent 〇 769 947; they are by Prewett et al., Cawcer Λα, Vol. 59, pp. 5209-5218 (1999); Yuan et al. /Voc dead - , 93, pp. 14765-14770 (1996); Zhu et al., vol. 58, pp. 3209-3214 (1998);
Mordenti 等人於 Tox/co/ Ραί/ζο/,第 27 卷,No.l,第 14-21 頁 (1999)中;於 WO 00/37502 及WO 94/10202 中所闡述者; # ANGIOSTATIN,O'Reilly 等人於 Ce//,第 79卷,第 315-328 頁(1994)中所述;ENDOSTATIN,O'Reilly 等人於 Ce//,第 88卷,第277-285頁(1997)中所述;鄰胺基苯甲醯胺; ZD4190 ; ZD6474 ; SU5416 ; SU6668 ;貝伐單抗;或抗-VEGF抗體或抗-VEGF受體抗體,例如,rhuMAb及 RHUFab ; VEGF適配體(例如,哌加他尼鈉);FLT-4抑制 劑、FLT-3抑制劑、VEGFR-2 IgGl抗體、安奇羅然 (Angiozyme)(RPI 4610)及 Avastin。 W 如本文所用術語「VEGFR酪胺酸激酶抑制劑」係關於一 種靶向、降低及/或抑制在正常及病理性血管發調製中所 涉及已知血管生成生長因子及細胞因子之化合物。VEGF 家族(VEGF-A、VEGF-B、VEGF-C、VEGF-D)及其對應受 體酪胺酸激酶[VEGFR-1 (Flt-1)、VEGFR-2 (Flk-Ι、 KDR)、及VEGFR-3 (Flt-4)]在調節血管生成及淋巴管生成 過程之多個方面中起著至關重要的不可或缺的作用。 VEGFR酪胺酸激酶抑制劑之一個實例包括但不限於3-(4-二 144363.doc -109- 201032806 甲基胺基亞苄基)-2-吲哚啉酮。 如本文所用術語「RANKL抑制劑」係關於一種靶向、 降低或抑制RANK/RANKL途徑之化合物。RANK抑制劑可 在許多病況中防止破骨細胞介導之骨丟失,該等病況包括 骨質疏鬆症、治療誘導之骨丟失(由糖皮質激素治療及免 疫抑制引起的骨丟失)、類風濕性關節炎、骨轉移及多發 性骨髓瘤。RANKL抑制劑之一個實例包括但不限於德奴 單抗。 下文僅以實例方式闡述。 ❹ 實例1 使用兩種癌症衍生細胞系(BT474及MDA-MB-231)。此 等係人類乳房癌瘤細胞系。該等細胞系可自美國典型培養 物保藏中心(ATCC)購得。在補充有10% v/v胎牛血清及2 mM L-麩胺醯胺之Hybri-Care培養基(ATCC)中保持BT474 細胞。使MDB-MB-231細胞在補充有10% v/v胎牛血清及2 mM L-麵胺醯胺之RPMI 1640 培.養基(Animed,Allschwil, Switzerland)中生長。對該等培養基補充1 〇〇微克/ml青黴 ⑩ 素/鍵黴素並將細胞維持在37°C下於5% C02中。 在細胞開始分裂及更換培養基後,將儲備培養物之細胞 以 3.3χ104細胞/cm2 (BT474)及 1.2χ104細胞/cm2 (MDB-MB-231)之密度播種於細胞板上並在37°C及5% C02下培育48小 時,然後用DMSO媒劑、20 nM依維莫司(RAD001)及/或各 種濃度之AUY922 (化合物1)處理24小時。為了製備細胞裂 解物’將培養板用含有1 mM苯基甲基磺醯氟(PMSF)之冰 144363.doc -110· 201032806 冷磷光體緩衝鹽水(PBS)洗滌一次並用冰冷萃取緩衝液(50 mM Hepes pH 7.4,150 mM NaCl,25 mM β-甘油磷酸鹽, 25 mM NaF, 5 mM EGTA, 1 mM EDTA, 15 mM PPi, 2 mM 原鈒酸納,10 mMla酸納,亮抑蛋白酶肽(10微克/ml),抑 • 肽酶(10微克/ml), 1 mM DTT及1 mM PMSF)洗滌一次。在 含有1 % NP-40之相同緩衝液中萃取細胞。藉由離心、等分 並在-80°C下冷凍來攪勻、澄清該等萃取物。藉助BCA蛋白 檢驗(Pierce, Rockford,IL,USA)測定蛋白濃度。 φ 藉助12%變性十二烷基硫酸鈉聚丙烯醯胺凝膠(SDS- PAGE)電泳來解析20微克細胞萃取物並藉助濕印跡將其轉 移至聚二氟亞乙烯過濾器(1小時,在250 mA下)且在4°C下 用下列一級抗體探測過夜: 自 DAKO (Glostrup,Denmark)獲得並在 PBS,0.5 % v/v Tween 中稀釋之抗-磷酸-Akt(Ser473)(純系 14-05; 1:2000)。 自 Cell Signaling Technology (Beverly, MA,USA)中獲得 並在PBS, 0·1 % v/v Tween中稀釋之抗-磷酸-Akt (T308) ❿(目錄編號9275; 1:1000)。 自 Epitomics (Burlingame, CA,USA)獲得並在 PBS,0.5 0/〇 . v/v Tween中稀釋之抗-Akt (目錄編號 1085-1; 1:5000)。 自 Chemicon (Billerica,MA,USA)獲得且在PBS,0.1% v/v Tween中稀釋之抗-肌動蛋白(目錄編號MAB1501; 1:20,000) ° 在用適當一級抗體培育後(上文),相繼使用辣根過氧化 物酶-偶聯之抗-小鼠或抗-兔子免疫球蛋白以及強化化學螢 144363.doc 201032806 光劑(ECL Plus套組)揭露經裝飾蛋白並使用Quantity 〇以軟 體(Bio-Rad, Munich,德國)定量之。 實例2Mordenti et al., Tox/co/ Ραί/ζο/, Vol. 27, No. 1, pp. 14-21 (1999); as described in WO 00/37502 and WO 94/10202; # ANGIOSTATIN, O 'Reilly et al., Ce//, vol. 79, pp. 315-328 (1994); ENDOSTATIN, O'Reilly et al., Ce//, vol. 88, pp. 277-285 (1997) Said; o-aminobenzamide; ZD4190; ZD6474; SU5416; SU6668; bevacizumab; or anti-VEGF antibody or anti-VEGF receptor antibody, for example, rhuMAb and RHUFab; VEGF aptamer (eg, Sodium pegatanibide; FLT-4 inhibitor, FLT-3 inhibitor, VEGFR-2 IgGl antibody, Angiozyme (RPI 4610) and Avastin. W The term "VEGFR tyrosine kinase inhibitor" as used herein relates to a compound which targets, reduces and/or inhibits known angiogenic growth factors and cytokines involved in normal and pathological angiogenesis. VEGF family (VEGF-A, VEGF-B, VEGF-C, VEGF-D) and their corresponding receptor tyrosine kinases [VEGFR-1 (Flt-1), VEGFR-2 (Flk-Ι, KDR), and VEGFR-3 (Flt-4) plays a vital and indispensable role in regulating angiogenesis and lymphangiogenesis processes. An example of a VEGFR tyrosine kinase inhibitor includes, but is not limited to, 3-(4-di-144363.doc-109-201032806 methylaminobenzylidene)-2-indolone. The term "RANKL inhibitor" as used herein relates to a compound which targets, decreases or inhibits the RANK/RANKL pathway. RANK inhibitors prevent osteoclast-mediated bone loss in a number of conditions, including osteoporosis, treatment-induced bone loss (bone loss due to glucocorticoid therapy and immunosuppression), rheumatoid joints Inflammation, bone metastasis and multiple myeloma. An example of a RANKL inhibitor includes, but is not limited to, denosumab. The following is only to illustrate by way of example.实例 Example 1 Two cancer-derived cell lines (BT474 and MDA-MB-231) were used. These are human breast cancer cell lines. Such cell lines are commercially available from the American Type Culture Collection (ATCC). BT474 cells were maintained in Hybri-Care medium (ATCC) supplemented with 10% v/v fetal bovine serum and 2 mM L-glutamine. MDB-MB-231 cells were grown in RPMI 1640 culture medium (Animed, Allschwil, Switzerland) supplemented with 10% v/v fetal bovine serum and 2 mM L- faceamine. The medium was supplemented with 1 μg/ml Penicillin/Keymycin and the cells were maintained at 37 ° C in 5% CO 2 . After the cells began to divide and change the medium, the cells of the reserve culture were seeded on the cell plate at a density of 3.3χ104 cells/cm2 (BT474) and 1.2χ104 cells/cm2 (MDB-MB-231) and at 37 ° C and Incubate for 48 hours at 5% C02 and then treat with DMSO vehicle, 20 nM everolimus (RAD001) and/or various concentrations of AUY922 (compound 1) for 24 hours. To prepare cell lysates, the plates were washed once with ice containing 144 mM phenylmethylsulfonate (PMSF) 144363.doc -110· 201032806 cold phosphor buffered saline (PBS) and ice-cold extraction buffer (50 mM) Hepes pH 7.4, 150 mM NaCl, 25 mM β-glycerophosphate, 25 mM NaF, 5 mM EGTA, 1 mM EDTA, 15 mM PPi, 2 mM sodium orthoformate, 10 mM La sodium, bright aprotinin (10 Micrograms/ml), peptidase (10 μg/ml), 1 mM DTT and 1 mM PMSF) were washed once. The cells were extracted in the same buffer containing 1% NP-40. The extracts were homogenized by centrifugation, aliquoting and freezing at -80 °C. Protein concentration was determined by means of the BCA protein assay (Pierce, Rockford, IL, USA). φ 20 μg of cell extract was resolved by 12% denatured sodium lauryl sulfate polyacrylamide gel (SDS-PAGE) electrophoresis and transferred to a polytetrafluoroethylene filter by wet blotting (1 hour at Detection at 250 mA) and overnight at 4 °C with the following primary antibody: Anti-phosphate-Akt (Ser473) obtained from DAKO (Glostrup, Denmark) and diluted in PBS, 0.5% v/v Tween (pure line 14- 05; 1:2000). Anti-phospho-Akt (T308) 获得 (Catalog No. 9275; 1:1000) obtained from Cell Signaling Technology (Beverly, MA, USA) and diluted in PBS, 0.1% v/v Tween. Anti-Akt (Catalog No. 1085-1; 1:5000) obtained from Epitomics (Burlingame, CA, USA) and diluted in PBS, 0.50/〇.v/v Tween. Anti-actin obtained from Chemicon (Billerica, MA, USA) and diluted in PBS, 0.1% v/v Tween (catalog number MAB1501; 1:20,000) ° after incubation with appropriate primary antibody (above), Horseradish peroxidase-conjugated anti-mouse or anti-rabbit immunoglobulin and intensive chemical fluorescein 144363.doc 201032806 Light agent (ECL Plus kit) were used to expose the decorative protein and use Quantity 〇 to software ( Bio-Rad, Munich, Germany) Quantitative. Example 2
圖1顯示於依維莫司(RAD001)及依維莫司(rad〇〇1)與化 合物I ((R)-2-胺基-7-[2-(6-曱氧基-»比呀_2_基)_苯基]_4_曱 基-7,8-二氫-6H-"比啶并[4,3-d]嘧啶-5-酮)之組合存在時 BT474乳腺腫瘤細胞中之AKT填酸化程度。用radooi抑制 mTOR可激活腫瘤細胞中之Akt (O'ReUiy等人,2〇〇6)。西 方點潰分析證明:觀測到磷酸化AKT (p_AKT(S473)及P-AKT(T3〇8))之含量在用20 nM RAD001處理之bt_474細胞中 比在未經處理對照中有所增加。當用5〇_1〇〇 nM化合物I ((R)-2-胺基-7-[2-(6-甲氧基比咬-2-基)__笨基]_4_甲基_7,8· 二氫-611-°比咬并[4,3-(1]响。定-5-網)處理該等細胞時,八{^ 碗酸化((P-AKT(S473)及P-AKT(T308))均減少。於50-100 nM 化合物I存在時,添加20 nM RAD001並不會造成AKT破酸 化(P-AKT(S473)及P_AKT(T3〇8))增加。AKT含量受任何處理 之影響並不顯著。使用肌動蛋白來證明在西方點潰分析之 每一路徑上蛋白載量相等。 實例3 圖2顯示於依維莫司(RAD001)及依維莫司(RAD001)與化 合物I ((R)-2-胺基-7-[2-(6_曱氧基-吡啶-2-基)-苯基]-4-曱 基-7,8-二氫-6H-吡啶并[4,3-d]嘧啶-5-酮)之組合存在時 MDA-MB-23 1乳腺腫瘤細胞中之AKT磷酸化程度〇已證 明,用RAD001抑制mTOR可激活腫瘤細胞中之Akt 144363.doc -112- 201032806 (O'Reilly等人,2006)。西方點潰分析證明:觀測到磷酸化 AKT (P-AKT(S473)之含量在用 20 nM RAD001 處理之MDA-MB-23 1細胞中比在未經處理對照中有所增加。當用50-1 00 nM化合物I處理該等細胞時,AKT磷酸化(P-AKT(S473))減 " 少。於50-100 nM化合物I ((R)-2-胺基-7-[2-(6-曱氧基-吡 . 啶-2-基)-苯基]-4-甲基-7,8-二氫-6H-吡啶并[4,3-d]嘧啶-5- 酮)存在時,添加20 nM RAD001並不會造成胺基酸殘基 T308處之AKT磷酸化增加。AKT含量於100 nM化合物I Φ ((R)-2-胺基-7-[2-(6-曱氧基比啶-2-基)-苯基]-4-甲基-7,8-二氫-6Η-吡啶并[4,3-d]嘧啶-5-酮)存在時稍微有所下降, 此與AKT係Hsp90客體蛋白之事實相符合。使用肌動蛋白 來證明在西方點潰分析之每一路徑上蛋白載量相等。 【圖式簡單說明】 圖1顯示於依維莫司(RAD001)及依維莫司(RAD001)與化 合物I之組合存在時BT474乳腺腫瘤細胞中之Akt磷酸化程 度;及 ® 圖2顯示於依維莫司(RAD001)及依維莫司(RAD001)與化 合物I之組合存在時MDA-MB-231乳腺腫瘤細胞中之AKT磷 酸化程度。 144363.doc -113-Figure 1 shows the comparison of everolimus (RAD001) and everolimus (rad〇〇1) with compound I ((R)-2-amino-7-[2-(6-methoxy-) _2 _ _ _ phenyl _ _ 4 曱 -7 -7,8-dihydro-6H-" than pyridine[4,3-d]pyrimidin-5-one) in the presence of BT474 breast tumor cells The degree of acidification of the AKT. Inhibition of mTOR with radooi activates Akt in tumor cells (O'ReUiy et al., 2〇〇6). Western point collapse analysis demonstrated that the levels of phosphorylated AKT (p_AKT (S473) and P-AKT (T3〇8)) were observed to increase in bt_474 cells treated with 20 nM RAD001 compared to untreated controls. When using 5〇_1〇〇nM compound I ((R)-2-amino-7-[2-(6-methoxyl-But-2-yl)__styl]_4_methyl_7 , 8 · Dihydro-611-° than the bite [4,3-(1] ring. Ding-5-net) treatment of these cells, eight {^ bowl acidification ((P-AKT (S473) and P- AKT(T308)) was reduced. Adding 20 nM RAD001 in the presence of 50-100 nM Compound I did not cause AKT deacidification (P-AKT (S473) and P_AKT (T3〇8)). AKT content was affected by any The effect of the treatment was not significant. Actin was used to demonstrate equal protein loading on each path of the Western analysis of the breakout. Example 3 Figure 2 shows the relationship between everolimus (RAD001) and everolimus (RAD001). Compound I ((R)-2-amino-7-[2-(6-decyloxy-pyridin-2-yl)-phenyl]-4-indolyl-7,8-dihydro-6H-pyridine The degree of AKT phosphorylation in MDA-MB-23 1 breast tumor cells in the presence of a combination of [4,3-d]pyrimidin-5-one) has demonstrated that inhibition of mTOR by RAD001 activates Akt 144363 in tumor cells. Doc-112-201032806 (O'Reilly et al., 2006). Western point collapse analysis demonstrated that phosphorylated AKT (P-AKT (S473) content was observed in MDA-MB-23 1 cells treated with 20 nM RAD001 Increased in untreated controls. When these cells were treated with 50-1 00 nM Compound I, AKT phosphorylation (P-AKT (S473)) was reduced " less. At 50-100 nM Compound I (( R)-2-Amino-7-[2-(6-decyloxy-pyridin-2-yl)-phenyl]-4-methyl-7,8-dihydro-6H-pyrido[ In the presence of 4,3-d]pyrimidin-5-one), the addition of 20 nM RAD001 did not result in an increase in AKT phosphorylation at the amino acid residue T308. The AKT content was 100 nM compound I Φ ((R)-2 -amino-7-[2-(6-decyloxypyridin-2-yl)-phenyl]-4-methyl-7,8-dihydro-6Η-pyrido[4,3-d] Pyrimidine-5-one) was slightly decreased in the presence of this, consistent with the fact that the AKT Hsp90 guest protein was used. Actin was used to demonstrate that the protein load was equal on each path of the Western point collapse analysis. Description Figure 1 shows the degree of Akt phosphorylation in BT474 breast tumor cells in the presence of everolimus (RAD001) and everolimus (RAD001) in combination with Compound I; and ® Figure 2 shows in everolimus (Fig. 2) The degree of AKT phosphorylation in MDA-MB-231 breast tumor cells in the presence of RAD001) and everolimus (RAD001) in combination with Compound I. 144363.doc -113-
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